Local anaesthesia for major general surgical procedures. A review of 116 cases over 12 years

Dennison, Ashley R.; Oakley, Neil; Appleton, Donna; Paraskevopoulos, J. A.; Kerrigan, David; Cole, J.; Thomas, W. E. G.

doi:10.1136/pgmj.72.844.105

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…Introduction of local anaesthesia by Koller in 1884, its techniques has been developed progressively. It is now accepted as a modality of choice in different surgical fields [6][7][8] . Local anaesthesia is a safe alternative of general anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

Thyroid Surgery under Local Anaesthesia: Study of 30 Cases

Ahmad¹,

Amin²,

Hossain³

et al. 2018

J Curr Adv Med Res

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Background: Thyroidectomy is usually done under general anaesthesia.Objective: The purpose of the present study was to present our experience and evaluate effectiveness of thyroid surgery under local anaesthesia.Methodology: This is a cross-sectional study carried out in upazila health complex, Boalkhali, Chittagong and 250 bed General Hospital, Chittagong since January 2013 to December 2015. 30 patient underwent thyroidectomy for benign and malignant diseases under local anaesthesia. All patients are adult from 20 to 60 years, examined thoroughly investigated accordingly, euthyroid or made euthyroid, normotensive or made normotensive. Each patient was given Tab. Bromazepam 3mg at night before the day of surgery and repeated in morning on the day of surgery. Half an hour before the surgery patient is given injection Pethidine 1mg/kg I.M, injection Ketorolac 30mg I.V, injection Ranitidine 50mg I.V, injection Ondansetron 8mg I.V, injection Ceftriaxone 1gm I.V.Result: Among 30 patients male 8, female 22. Male-Female ration 1:2.75. Mean age 33.8 years. Mean lesion size 5.95cm. Mean Operation time: 91min. Surgery included hemithyroidectomy 18, subtotal thyroidectomy 8, total thyroidectomy 6. Post operative complication included infection in 1 and haematoma in 1 case.Conclusion: In our study thyroidectomy under local anaesthesia found effective and safe in a setup of limited anaesthesia facilities and safe alternative where general anaesthesia is contraindicated.Journal of Current and Advance Medical Research 2016;3(2):56-59

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Section: Discussionmentioning

confidence: 99%

Thyroid Surgery under Local Anaesthesia: Study of 30 Cases

Ahmad¹,

Amin²,

Hossain³

et al. 2018

J Curr Adv Med Res

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“…[ 9 10 11 12 13 14 ] The abdominal wall sensory afferents, which course through the TAP plane could be blocked successfully and effectively by abdominal field blocks or TAP block under ultrasound guidance then the abdominal incision and operation could be carried out without patient's discomfort. [ 15 16 17 ] Pain caused by visceral stimulation of the celiac plexus may still challenge intraabdominal surgical success which is a major limitation. When the surgeons manipulated the intestine, the patient complained of pain due to stimulation of autonomic nervous system through celiac plexus (vagus), but dexmedetomidine infusion helped in relieving the pain or retching sensation.…”

Section: Discussionmentioning

confidence: 99%

Bilateral transversus abdominis plane block as a sole anesthetic technique in emergency surgery for perforative peritonitis in a high risk patient

Mishra

Pani

Mishra

et al. 2013

J Anaesthesiol Clin Pharmacol

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Although transversus abdominis plane (TAP) block is an effective way of providing analgesia in post-operative abdominal surgery patients; however, it can be considered as an anesthetic technique in high-risk cases for surgery. We report a case of a geriatric female with chronic obstructive pulmonary disease in the respiratory failure, hypotension, posted in an emergency with old perforation leading to peritonitis. The surgery was successfully conducted under bilateral TAP block, which was used as a sole anesthetic technique. TAP block can be considered as an anesthetic technique for abdominal surgery in moribund patients.

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“…Use of local anesthesia for surgical procedures has been steadily refined since its introduction by Koller in 1884, and it is now widely used in several surgical procedures[ 3 ] like cholecystectomy,[ 4 ] thyroid surgeries,[ 5 6 ] and appendicectomy. [ 7 8 ] Non-compliance is the most important contraindication.…”

Section: Discussionmentioning

confidence: 99%

Two-port laparoscopic-assisted appendicectomy under local anesthesia in adults: A pilot study

Bharati¹,

Singh²,

Shukla³

2011

J Surg Tech Case Report

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Aim:Nowadays laparoscopic-assisted appendicectomy using the two-port technique is gaining popularity due to its certain benefits over the open version. General anesthesia with positive pressure ventilation is the preferred mode of anesthesia in this technique. We conducted a pilot study using the two-port technique in adult patients, with uncomplicated appendicitis under local anesthesia, to evaluate its feasibility.Materials and Methods:In this prospective study 12 consecutive patients of ASA grade I and II, with a mean age of 22.5 years, suffering from acute appendicitis, were included. All the patients received ondansetron, diazepam, and pentazocine as premedication. Monitored anesthesia care was given. The site of trocar insertions were infiltrated with 1% lignocaine with adrenalin. The pneumoperitoneum was created using carbon-di-oxide. After exteriorization of the appendix using the trocar, appendicectomy was performed as in the open procedure.ResultsEleven out of twelve patients were successfully operated using this method without converting it into an open method. Two cases required an extra port to free the appendix from the adhesion. There were no intra- or post-operative complications present.Conclusion:Two-port laparoscopic-assisted appendicectomy under local anesthesia is a safe and effective method for uncomplicated appendicitis in adults, and the procedure is suitable where limited set-up for anesthesia is present.

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Local anaesthesia for major general surgical procedures. A review of 116 cases over 12 years

Abstract: SummaryBetween 1980 and 1992, 116 The 116 patients presented in the study are those who had intra-abdominal surgery (84; 53 women, 31 men) or simple mastectomy (32). The median age was 74 years (range and all the patients were grade III or worse on

Cited by 7 publications

References 4 publications

Thyroid Surgery under Local Anaesthesia: Study of 30 Cases

Thyroid Surgery under Local Anaesthesia: Study of 30 Cases

Bilateral transversus abdominis plane block as a sole anesthetic technique in emergency surgery for perforative peritonitis in a high risk patient

Two-port laparoscopic-assisted appendicectomy under local anesthesia in adults: A pilot study

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