scholarly journals Regional Femoral Nerve Block Combined with Local Anaesthesia in Day Surgery for Varicose Veins

2008 ◽  
Vol 36 (6) ◽  
pp. 748
Author(s):  
E. Fiutek ◽  
Z. Fiutek
Keyword(s):  
Nerve Block ◽  
Local Anaesthesia ◽  
Femoral Nerve Block ◽  
Varicose Veins ◽  
Femoral Nerve ◽  
Day Surgery

Analgesia and anaesthesia

2020 ◽  
pp. 281-327
Author(s):  
Jonathan P. Wyatt ◽  
Robert G. Taylor ◽  
Kerstin de Wit ◽  
Emily J. Hotton ◽  
Robin J. Illingworth ◽  
...  
Keyword(s):  
Emergency Department ◽  
Nerve Block ◽  
Local Anaesthetic ◽  
Local Anaesthesia ◽  
Femoral Nerve Block ◽  
Rapid Sequence Induction ◽  
Femoral Nerve ◽  
General Anaesthetic ◽  
Intravenous Sedation ◽  
Nerve Blocks

This chapter in the Oxford Handbook of Emergency Medicine investigates analgesia and anaesthesia in the emergency department (ED). It looks at options for relieving pain, such as the analgesics aspirin, paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs), morphine and other opioids, Entonox®, and ketamine, and explores analgesia for trauma and other specific situations. It discusses local anaesthesia (LA) and local anaesthetic toxicity, including use of adrenaline (epinephrine) and general principles of local anaesthesia. It explores blocks such as Bier’s block, local anaesthetic nerve blocks, intercostal nerve block, digital nerve block, median and ulnar nerve blocks, radial nerve block at the wrist, dental anaesthesia, nerve blocks of the forehead and ear, fascia iliaca compartment block, femoral nerve block, and nerve blocks at the ankle. It examines sedation, including drugs for intravenous sedation and sedation in children, and discusses general anaesthesia in the emergency department, emergency anaesthesia and rapid sequence induction, difficult intubation, and general anaesthetic drugs.

The Quality of Local Anaesthesia Associated with Intravenous Administration of Ketoprofen in Radical Operations for Leg Varicose Veins

2002 ◽  
Vol 17 (3-4) ◽  
pp. 89-92
Author(s):  
M. Glinka ◽  
A. Urbaniak ◽  
J. Kalemba
Keyword(s):  
Blood Pressure ◽  
Local Anaesthesia ◽  
Femoral Nerve Block ◽  
Varicose Veins ◽  
Femoral Nerve ◽  
Point Scale ◽  
Varicose Vein Surgery ◽  
Skin Changes ◽  
Combined Use

Objective: To evaluate the use of intravenous ketoprofen administration during varicose vein surgery undertaken under local anaesthesia. Setting: Regional general hospital in Poland. Patients: One hundred and six patients presenting with primary long saphenous varicose veins, including those with skin changes and leg ulceration. Interventions: Patients underwent sapheno-femoral ligation and long saphenous stripping under local anaesthesia including femoral nerve block, having first received an intravenous infusion of ketoprofen. Outcome measures: Patients recorded their level of discomfort or pain on a five-point scale. Blood pressure and pulse were also recorded. Results: One hundred and two patients found the level of analgesia produced by this technique to be acceptable, and 75 reported no discomfort at all. Conclusions: The combined use of intravenous ketoprofen and local anaesthesia allowed the treatment of all patients with superficial venous incompetence irrespective of their fitness for general anaesthesia.

Tumescent anaesthesia in combination with a femoral nerve block or a sciatic nerve block for surgery of varicose veins

Phlebologie ◽  
2009 ◽  
Vol 38 (03) ◽  
pp. 103-107
Author(s):  
J. Traber ◽  
T. Hillermann
Keyword(s):  
Body Weight ◽  
Sciatic Nerve ◽  
Nerve Block ◽  
Saphenous Vein ◽  
Femoral Nerve Block ◽  
Varicose Veins ◽  
Femoral Nerve ◽  
Sciatic Nerve Block ◽  
Anaesthetic Procedure ◽  
Surgery Of Varicose Veins

SummaryTumescent anaesthesia is a widley accepted anaesthetic procedure for the surgery of varicous veins. In our institution tumescent anaesthesia is regularly combined with femoral nerve block or sciatic nerve block for primary operations of the great saphenous vein (GSV) or small saphenous vein (SSV).This combined procedure is described. Retrospective data of 154 operations of the GSV and of 27 operations of the SSV are presented. We used 9.5 mg/kg body weight of prilocain for operations of the GSV and 8.6 mg/kg body weight for operations of the SSV. No serious complications occurred.

scholarly journals Anesthesia in outpatient phlebology practice

2018 ◽  
pp. 52-56
Author(s):  
O. V. Bukina ◽  
A. A. Sinitsin
Keyword(s):  
Systematic Review ◽  
Nerve Block ◽  
Spinal Anaesthesia ◽  
Local Anaesthesia ◽  
Outpatient Surgery ◽  
Femoral Nerve Block ◽  
Femoral Nerve ◽  
Patient Comfort ◽  
Number Of Patients ◽  
Tumescent Solution

Tumescent and/or conductive anaesthesia is the most frequently performed procedure to anesthetize the thermal types of surgical interventions, mini-phlebectomy and stripping of subcutaneous veins in outpatient settings. These interventions have become a common outpatient procedure almost everywhere, which made the issue of local anaesthesia more sensitive over the past 5 years in Russia. The aim is to compare the efficacy, safety and comfort when injecting various anaesthetic solutions to relieve pain during endovenous laser obliteration/radio frequency catheter ablation, stripping of the subcutaneous veins and mini-phlebectomy. Searching method. We searched for original articles in PubMed, in the archives of «Phlebology» and «Angiology and Vascular Surgery» journals issued for the period between 2001 and November 2018 and the search for official instructions in the state register of medicinal products. Selection criteria. We included all comparative studies: randomized and non-randomized, in which pain was assessed both during injection of a tumescent solution before EVLO and/or mini-phlebectomy and during surgery, as well as systematic reviews and monographs. Data analysis. In total, we identified 9 studies: 7 randomized and 2 non-randomized, one systematic review and two monographs. The advantage of a buffered solution over unbuffered one in terms of reducing pain during injection is revealed in three randomized, one simple comparative study and on the basis of systematic review data. A great efficacy of combining tumescent anaesthesia with a femoral nerve blockade, which was equivalent to spinal anaesthesia, was found in 4 randomized trials, two of which were double-blind, and one non-randomized. In addition, a smaller degree of motor block was reported after blocking the femoral nerve in comparison with spinal anaesthesia. In one randomized trial in which pain was assessed using cold and warm solutions, no significant differences in pain were observed either during or after surgery. In order to prepare a tumescent solution, lidocaine, prilocaine and mepivacaine were used at concentrations ranging from 0.028% to 0.2%; the advantages of higher concentrations over the lower ones have not been revealed. No adverse reactions and complications of anaesthesia have been reported in the studies, except for one where methaemoglobinemia of mild degree was detected in a small number of patients when using 0.2% prilocaine. The conclusion. Local anaesthesia, namely, conductive and tumescent anaesthesia, is an effective and safe anaesthesia method in outpatient surgery. Even very low concentrations of anaesthetic solutions are effective for tumescent anaesthesia. The use of buffered solutions increases significantly patient comfort during the injection. The combination of tumescent anaesthesia and femoral nerve block increases the effectiveness of anaesthesia. The femoral nerve block has significant advantages in comparison with spinal anaesthesia in terms of safety.

Tumescent anaesthesia in combination with femoral nerve block for surgery of varicose veins: prilocaine 0.1% versus 0.2%

2011 ◽  
Vol 26 (7) ◽  
pp. 292-297 ◽  
Author(s):  
T Hillermann ◽  
A Dullenkopf ◽  
W Joechle ◽  
J Traber
Keyword(s):  
Patient Satisfaction ◽  
Nerve Block ◽  
Plasma Levels ◽  
Femoral Nerve Block ◽  
Varicose Veins ◽  
Femoral Nerve ◽  
Pain Scores ◽  
Blinded Study ◽  
Double Blinded ◽  
Surgery Of Varicose Veins

Objective Results of a prospective, randomized, double-blinded study about tumescent anaesthesia (TA) in combination with femoral nerve block (FNB) for surgery of varicose veins are reported. The aim is to compare two different concentrations of prilocaine in TA. Method With approval of the ethical committee and informed consent, FNB (nerve stimulation, 20 mL prilocaine 0.75%) was performed followed by TA using prilocaine 0.1% versus 0.2% (groups P0.1 and P0.2). Further medication was standardized. Overall amount of prilocaine was recorded, plasma levels of 20 patients measured regularly. Side-effects, patient satisfaction and pain scores were compared ( P < 0.05). Results Ninety patients were included. In one patient (P0.1), general anaesthesia was necessary. There was no difference in pain scores, need for rescue medication or patient satisfaction. More prilocaine was administered in P0.2 ( P < 0.0001) with higher but far below toxic plasma levels. In three patients (P0.2) mild met-haemoglobinaemia was confirmed. Conclusion TA with prilocaine 0.1% in combination with FNB is sufficient to provide high patient satisfaction during varicosis surgery.

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