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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
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Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review.

Dusica M Stamenkovic1,2, Mihailo Bezmarevic1,3, Suzana Bojic4,5

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Local anesthetic wound infiltration (WI) offers effective pain relief for surgeries and improves recovery. Proper technique and dosing are essential for maximizing benefits and minimizing risks like systemic toxicity.

Keywords:
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Area of Science:

  • Anesthesiology
  • Surgical Pain Management

Background:

  • Local anesthetic wound infiltration (WI) is a key component of multimodal analgesia.
  • While pre-incisional block is ideal, WI is often performed post-incision.
  • Continuous WI can reduce analgesic needs and prolong pain relief.

Purpose of the Study:

  • To review the benefits and techniques of local anesthetic wound infiltration.
  • To highlight applications in various surgical procedures.
  • To emphasize critical factors for successful WI.

Main Methods:

  • Systematic infiltration of local anesthetic into surgical site tissue planes.
  • Direct visualization during wound closure or subcutaneous administration.
  • Consideration of specific surgical procedures and anatomy.

Main Results:

  • WI is beneficial in numerous open and laparoscopic surgeries.
  • Continuous WI can enhance patient mobilization.
  • Local anesthetic systemic toxicity incidence is 11% with subcutaneous WI.

Conclusions:

  • WI requires anatomical knowledge and precise technique.
  • Appropriate local anesthetic dosing is crucial to prevent toxicity.
  • Mastery of WI, patient education, and aseptic technique are vital for optimal outcomes.