Local Infiltration Analgesia

<p>The concept of integrating pain management into the surgical process as a single entity is new and exciting. The use of local anaesthetic to block post-operative pain at the site of its generation is here refined into a management program allowing early mobilisation and dramatic pain control in the early post-operative period. This multimodal technique is demonstrated here with application to lower limb arthroplasty and spinal surgery. This is not only a detailed explanation and instruction in the technique and concept but a historical perspective on its development and will be of great interest to all orthopaedic surgeons as well as anaesthetists.</p><p>Using easy-to-understand terminology this text covers:</p><ul> <li>LIA methods</li> <li>Pre- and postoperative management</li> <li>How to select a needle injection location</li> <li>The benefits of combining the LIA technique with the drugs Naropin Marcain and Xylocaine</li> </ul><p>Color images throughout the text highlight the advantages of LIA including:</p><ul> <li>avoidance of sedation</li> <li>simple execution for physicians</li> <li>reduced risk of infection and blood clots</li> <li>little physiological disturbance</li> <li>earlier patient discharge and return to the workforce</li> <li>improved patient performance outlook and mobility</li> <li>fewer medical expenses</li> </ul>