Related Experiment Video
Updated: Apr 11, 2026
03:26
Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain
Published on: March 8, 2024
3.8K
Pain management strategies in hand surgery
Constantinos Ketonis1, Asif M Ilyas1, Frederic Liss1
1Rothman Institute at Thomas Jefferson University Hospital, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.
The Orthopedic Clinics of North America
|June 5, 2015
Summary
Modern anesthesia enables ambulatory hand surgery. Choosing the right anesthetic—from general anesthesia to wide-awake hand surgery—depends on procedure and patient factors to optimize recovery.
Area of Science:
- Anesthesiology
- Hand Surgery
- Ambulatory Surgery
Background:
- Modern anesthetic advancements facilitate ambulatory surgery, especially in hand procedures.
- Anesthesia selection for hand surgery involves multiple considerations.
Purpose of the Study:
- To review anesthetic options for hand surgery.
- To discuss perioperative and postoperative analgesia strategies for hand surgical patients.
Main Methods:
- Review of current anesthetic techniques for hand surgery.
- Discussion of factors influencing anesthetic choice.
- Overview of analgesic options.
Main Results:
- Various anesthesia types are available: general anesthesia, peripheral regional blocks, Bier block, local block with sedation, and wide-awake hand surgery.
- Anesthetic choice is influenced by procedure type, duration, patient factors, and comorbidities.
- Optimizing perioperative and postoperative pain management is crucial.
Conclusions:
- Anesthesia selection is multifactorial for successful ambulatory hand surgery.
- Tailored analgesic plans are essential for optimal patient outcomes in hand surgery.
More Related Videos
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
596
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
596
01:25Analgesia and Pain Management
3.1K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
3.1K
01:26Peripheral Artery Disease IV: Nursing Management
631
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
631
01:27Peripheral Artery Disease III: Interprofessional Care
606
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
606
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
1.5K
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
1.5K
01:26Angina IV: Management
439
IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
439