Related Experiment Video
Updated: Jun 6, 2025
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
606
[Local anesthesia in percutaneous nephrostomy and trocar epicystostomy]
I V Feofilov1,2
1Novosibirsk State Medical University, Novosibirsk, Russia.
Khirurgiia
|November 25, 2024
Summary
Articaine-Binergia demonstrated superior pain relief and a better safety profile compared to lidocaine for percutaneous nephrostomy (PNS) and trocar cystostomy (TCS) procedures. This local anesthesia offers enhanced efficacy and safety in urological interventions.
Area of Science:
- Urology
- Anesthesiology
- Pharmacology
Context:
- Percutaneous nephrostomy (PNS) and trocar cystostomy (TCS) are procedures requiring adequate anesthesia.
- The choice between general and local anesthesia depends on individual patient factors and risks.
- Optimizing local anesthesia for these urological interventions is crucial for patient outcomes.
Purpose:
- To evaluate the efficacy and safety of articaine as a local anesthetic in PNS and TCS procedures.
- To compare the outcomes of articaine with lidocaine for local anesthesia in these interventions.
Summary:
- A study compared 2% articaine-Binergia with 2% lidocaine in 85 patients undergoing PNS or TCS.
- The articaine group showed significantly better results in clinical efficacy scores.
- Adverse events, including allergic reactions and injection site complications, were less frequent in the articaine group.
Impact:
- Articaine-Binergia offers a superior analgesic effect and safety profile compared to lidocaine for PNS and TCS.
- The study suggests potential cost savings due to the lower volume of articaine used.
- Findings support the use of articaine for enhanced local anesthesia in specific urological surgeries.
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