Update/Review: Changing of Use of Local Anesthesia in the Hand
Summary: Among the many advances in local anesthesia of the hand, some of the most significant changes in the last 5 years have been the following: (1) the acceptance of safety of locally infiltrated epinephrine with lidocaine for hemostasis, which has removed the need for sedation, brachial plexus...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2014-05-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/Fulltext/2014/05000/Article.6.aspx |
| _version_ | 1811279730431754240 |
|---|---|
| author | Sarah Al Youha, MD Donald H. Lalonde, MD |
| author_facet | Sarah Al Youha, MD Donald H. Lalonde, MD |
| author_sort | Sarah Al Youha, MD |
| collection | DOAJ |
| description | Summary: Among the many advances in local anesthesia of the hand, some of the most significant changes in the last 5 years have been the following: (1) the acceptance of safety of locally infiltrated epinephrine with lidocaine for hemostasis, which has removed the need for sedation, brachial plexus blocks, and general anesthesia for most common hand surgery operations and minor hand trauma. (2) The elimination of the 2 injection finger block technique in favor of the single injection palmar block. (3) Local anesthesia can now be consistently injected in the hand with minimal pain. (4) Liposomal release of local anesthetic after injection into the surgical site can provide pain control up to 3 days. This article reviews the impact and best evidence related to these changes. |
| first_indexed | 2024-04-13T01:00:52Z |
| format | Article |
| id | doaj.art-6ee74a2fd12141f78c89ce2167b2b8b8 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-13T01:00:52Z |
| publishDate | 2014-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-6ee74a2fd12141f78c89ce2167b2b8b82022-12-22T03:09:29ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742014-05-0125e15010.1097/GOX.000000000000009501720096-201405000-00006Update/Review: Changing of Use of Local Anesthesia in the HandSarah Al Youha, MD0Donald H. Lalonde, MD1From the Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, and Saint John, New Brunswick, Canada.From the Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, and Saint John, New Brunswick, Canada.Summary: Among the many advances in local anesthesia of the hand, some of the most significant changes in the last 5 years have been the following: (1) the acceptance of safety of locally infiltrated epinephrine with lidocaine for hemostasis, which has removed the need for sedation, brachial plexus blocks, and general anesthesia for most common hand surgery operations and minor hand trauma. (2) The elimination of the 2 injection finger block technique in favor of the single injection palmar block. (3) Local anesthesia can now be consistently injected in the hand with minimal pain. (4) Liposomal release of local anesthetic after injection into the surgical site can provide pain control up to 3 days. This article reviews the impact and best evidence related to these changes.http://journals.lww.com/prsgo/Fulltext/2014/05000/Article.6.aspx |
| spellingShingle | Sarah Al Youha, MD Donald H. Lalonde, MD Update/Review: Changing of Use of Local Anesthesia in the Hand Plastic and Reconstructive Surgery, Global Open |
| title | Update/Review: Changing of Use of Local Anesthesia in the Hand |
| title_full | Update/Review: Changing of Use of Local Anesthesia in the Hand |
| title_fullStr | Update/Review: Changing of Use of Local Anesthesia in the Hand |
| title_full_unstemmed | Update/Review: Changing of Use of Local Anesthesia in the Hand |
| title_short | Update/Review: Changing of Use of Local Anesthesia in the Hand |
| title_sort | update review changing of use of local anesthesia in the hand |
| url | http://journals.lww.com/prsgo/Fulltext/2014/05000/Article.6.aspx |
| work_keys_str_mv | AT sarahalyouhamd updatereviewchangingofuseoflocalanesthesiainthehand AT donaldhlalondemd updatereviewchangingofuseoflocalanesthesiainthehand |