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Related Concept Videos

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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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

404
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...
404
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...
620
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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

78
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
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Pediatric Plastic Surgery Under Local Anesthesia.

Jonnby S LaGuardia1, Safi Ali-Khan, Dalton LaBarge

  • 1From the Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, Rochester, NY.

Annals of Plastic Surgery
|May 1, 2024
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Summary
This summary is machine-generated.

Office-based pediatric plastic surgery under local anesthesia is safe and effective for select procedures. This study shows low complication rates, supporting its use in common pediatric surgical indications.

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Area of Science:

  • Plastic Surgery
  • Pediatric Surgery
  • Office-Based Procedures

Background:

  • Office-based surgeries show promise for adults, but data for pediatric plastic surgery is limited.
  • Existing research on office-based plastic surgery primarily focuses on adult populations.
  • Safety and efficacy data for pediatric office-based plastic surgery are scarce.

Purpose of the Study:

  • To evaluate the safety and efficacy of office-based pediatric plastic surgery.
  • To assess complication rates for pediatric plastic surgery performed under local anesthesia in an office setting.
  • To determine the feasibility of common pediatric plastic surgery procedures in an office environment.

Main Methods:

  • Retrospective case series analysis.
  • Inclusion of pediatric patients undergoing office-based procedures under local anesthesia.
  • Data collected from September 2014 to June 2020 at a single academic institution.

Main Results:

  • 509 pediatric patients underwent 778 procedures.
  • Low overall complication rate of 1.29% (10 complications).
  • Only one surgical site infection occurred, successfully treated with antibiotics.

Conclusions:

  • Select pediatric plastic surgery procedures can be safely performed in an office setting.
  • Local anesthesia is suitable for these office-based pediatric plastic surgery procedures.
  • Low complication rates support the use of office-based settings for pediatric plastic surgery.