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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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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.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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General Anesthesia: Overview01:24

General Anesthesia: Overview

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

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Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
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Regional Terms01:12

Regional Terms

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Regional terms describe anatomy by dividing the body parts into different regions that contain structures involved in contributing similar functions. Using these terms helps increase the accurate description and identification of the particular region of interest or region affected by the disease.
Primarily, the human body has two major regions, the axial and appendicular regions. The axial region comprises regions from the head to the abdomen and makes up the central body axis. In contrast,...
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Regional Anesthesia for Hip Arthroscopy.

Peter E Amato1, Andrew J Winkelman2, Grace L Forster2

  • 1Acute Pain Service, Department of Anesthesiology, University of Virginia Health System, University of Virginia, PO Box 800710, Charlottesville, VA 22908-0710, USA.

Clinics in Sports Medicine
|March 18, 2022
PubMed
Summary
This summary is machine-generated.

Effective non-narcotic pain relief after hip arthroscopy is needed. This review explores regional analgesic techniques, including ultrasound-guided blocks, to manage post-operative pain without opioids.

Keywords:
AnalgesiaAnatomyHip arthroscopyNerve blocksRegional anesthesia

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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Anesthesiology

Background:

  • Post-hip arthroscopy pain can be severe, lacking standardized non-narcotic management.
  • Understanding hip innervation is crucial for effective locoregional analgesia.

Purpose of the Study:

  • To review current understanding of hip innervation relevant to arthroscopy.
  • To evaluate existing and novel locoregional analgesic techniques for post-arthroscopy pain.
  • To identify needs for future research in targeted pain management.

Main Methods:

  • Review of anatomical elements of hip arthroscopy and sensory innervation.
  • Evaluation of various regional nerve blocks and local anesthetic infiltration techniques.
  • Inclusion of newer ultrasound-guided fascial plane blocks.

Main Results:

  • Detailed review of hip anatomy and relevant nerve pathways.
  • Comprehensive overview of established and emerging locoregional analgesic strategies.
  • Identification of specific techniques like ultrasound fascial plane blocks.

Conclusions:

  • Current non-narcotic analgesia strategies for hip arthroscopy require further investigation.
  • Targeted, motor-sparing analgesic approaches, particularly ultrasound-guided, warrant further study.
  • Enhanced understanding of hip innervation can guide development of superior pain management protocols.