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Local Infiltration Analgesia for Postoperative Pain Control following Total Hip Arthroplasty: A Systematic Review
Local infiltration analgesia (LIA) is an analgesic technique that has gained popularity since it was first brought to widespread attention by Kerr and Kohan in 2008. The technique involves the infiltration of a large volume dilute solution of a long-acting local anesthetic agent, often with adjuvant...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3398576/ https://www.ncbi.nlm.nih.gov/pubmed/22829813 http://dx.doi.org/10.1155/2012/709531 |
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author | McCarthy, Denise Iohom, Gabriella |
author_facet | McCarthy, Denise Iohom, Gabriella |
author_sort | McCarthy, Denise |
collection | PubMed |
description | Local infiltration analgesia (LIA) is an analgesic technique that has gained popularity since it was first brought to widespread attention by Kerr and Kohan in 2008. The technique involves the infiltration of a large volume dilute solution of a long-acting local anesthetic agent, often with adjuvants (e.g., epinephrine, ketorolac, an opioid), throughout the wound at the time of surgery. The analgesic effect duration can then be prolonged by the placement of a catheter to the surgical site for postoperative administration of further local anesthetic. The technique has been adopted for use for postoperative analgesia following a range of surgical procedures (orthopedic, general, gynecological, and breast surgeries). The primary objective of this paper was to determine, based on the current evidence, if LIA is superior when compared to no intervention, placebo, and alternative analgesic methods in patients following total hip arthroplasty, in terms of certain outcome measures. The outcomes considered were postoperative analgesia scores, joint function/rehabilitation, and length of hospital stay. Secondary objectives were to review available evidence and current knowledge regarding the pharmacokinetics of local anesthetic and adjuvant drugs when administered in this way and the occurrence of adverse events. |
format | Online Article Text |
id | pubmed-3398576 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-33985762012-07-24 Local Infiltration Analgesia for Postoperative Pain Control following Total Hip Arthroplasty: A Systematic Review McCarthy, Denise Iohom, Gabriella Anesthesiol Res Pract Review Article Local infiltration analgesia (LIA) is an analgesic technique that has gained popularity since it was first brought to widespread attention by Kerr and Kohan in 2008. The technique involves the infiltration of a large volume dilute solution of a long-acting local anesthetic agent, often with adjuvants (e.g., epinephrine, ketorolac, an opioid), throughout the wound at the time of surgery. The analgesic effect duration can then be prolonged by the placement of a catheter to the surgical site for postoperative administration of further local anesthetic. The technique has been adopted for use for postoperative analgesia following a range of surgical procedures (orthopedic, general, gynecological, and breast surgeries). The primary objective of this paper was to determine, based on the current evidence, if LIA is superior when compared to no intervention, placebo, and alternative analgesic methods in patients following total hip arthroplasty, in terms of certain outcome measures. The outcomes considered were postoperative analgesia scores, joint function/rehabilitation, and length of hospital stay. Secondary objectives were to review available evidence and current knowledge regarding the pharmacokinetics of local anesthetic and adjuvant drugs when administered in this way and the occurrence of adverse events. Hindawi Publishing Corporation 2012 2012-07-05 /pmc/articles/PMC3398576/ /pubmed/22829813 http://dx.doi.org/10.1155/2012/709531 Text en Copyright © 2012 D. McCarthy and G. Iohom. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article McCarthy, Denise Iohom, Gabriella Local Infiltration Analgesia for Postoperative Pain Control following Total Hip Arthroplasty: A Systematic Review |
title | Local Infiltration Analgesia for Postoperative Pain Control following Total Hip Arthroplasty: A Systematic Review |
title_full | Local Infiltration Analgesia for Postoperative Pain Control following Total Hip Arthroplasty: A Systematic Review |
title_fullStr | Local Infiltration Analgesia for Postoperative Pain Control following Total Hip Arthroplasty: A Systematic Review |
title_full_unstemmed | Local Infiltration Analgesia for Postoperative Pain Control following Total Hip Arthroplasty: A Systematic Review |
title_short | Local Infiltration Analgesia for Postoperative Pain Control following Total Hip Arthroplasty: A Systematic Review |
title_sort | local infiltration analgesia for postoperative pain control following total hip arthroplasty: a systematic review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3398576/ https://www.ncbi.nlm.nih.gov/pubmed/22829813 http://dx.doi.org/10.1155/2012/709531 |
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