Impact of Local Infiltration Anesthesia on Postopertive Pain Management after Rhinoplasty in Day Care Surgery

Abstract

SUMMARYUse of local infiltration anaesthesia with 2% lidocaine in combination with epinephrine 1/100000 in rhinoplasty and 0.25% levobupivacaine in this research as an adjunct to general anaesthesia is compared analysing the need for postoperative analgesia in rhinoplasty patients. 30 patients received lidocaine combined with epinephrine (LA) and other 30 patients received levobupivacaine (LB). Comparison is done with Visual Analogue Scale in 30 min and 1, 3, 6 h postoperatively. Also 24 h need for analgesic treatment was recorded. In conclusion postoperative analgesia in LB group with general anaesthesia was significantly prolonged (P = 0.038).

Effectiveness of pre-emptive nerve block on opioid consumption in patients undergoing nasal surgery under general anaesthesia: A double-blinded randomised controlled study

“…[ 7 ] The efficacy of local anaesthetic infiltration technique combined with general anaesthesia during nasal surgery has also shown decreased post-operative pain and opioid consumption. [ 21 22 ] However, regional nerve blocks have an advantage over infiltration techniques due to various reasons, including reduced tissue distortion at the operative site and better pain control during handling of deeper tissues. [ 6 ]…”

Opioid Free General Anesthesia in Clinical Practice – a Review Article

“…According to studies, acetaminophen, NSAIDs and cyclooxygenase 2 inhibitors bring 24%-31.6% of the opioid sparing effect and significant 30% reduction of opioid related adverse events 30 . Utility of nonopioid analgesics such as alpha 2 agonist, low dose ketamine, gabapentinoids, magnesium, dexamethasone contributes 20%-50% to opioid sparing [30][31][32] . In OFA, we use standard monitoring of patient vital signs as a mandatory method according to good clinical practice, such as pulse oximeter, electrocardiogram, blood pressure monitoring, temperature probe, oxygen analyzer, and carbon dioxide analyzer with respiratory parameters on the anesthesia machine, bispectral index monitoring for adequate hypnosis and Train of Four monitoring for adequate muscle blockade.…”

Comparing the effects of ropivacaine and lidocaine associated with epinephrine on the heart rate, blood pressure, and amount of bleeding in patients candidate for cleft palate repair: A randomized clinical trial

“…In cleft palate surgery, which is performed under general anesthesia, the surgeon uses lidocaine, along with epinephrine to control local bleeding and manage the postoperative pain. The use of lidocaine and epinephrine is also common in centers where the surgery is performed by local anesthesia (8)(9)(10). The combination of lidocaine with epinephrine is associated with cardiovascular and neurological complications (11,12).…”