[Infiltration anesthesia].

Infiltrationsanästhesie.
Anesthetics Intradermal injections Intramuscular injection Local anesthesia Subcutaneous injections

Journal

Operative Orthopadie und Traumatologie
ISSN: 1439-0981
Titre abrégé: Oper Orthop Traumatol
Pays: Germany
ID NLM: 9604937

Informations de publication

Date de publication:
Feb 2020
Historique:
pubmed: 16 10 2019
medline: 3 3 2020
entrez: 16 10 2019
Statut: ppublish

Résumé

Complete anesthesia of any skin and soft tissue area by intradermal, subcutaneous, or intramuscular injections. Small injuries or incisions in limbs or trunk, minor surgery on the face/jaw (e.g., on the teeth), or postoperative analgesia (local infiltration anesthesia, LIA). Local infections at the injection site. By means of intradermal, subcutaneous or intramuscular administration, a grandeur arises, here the local anesthetic blocks nerve transmission. If anesthetized distal to end arteries, vasoconstrictors (e.g., epinephrine) should be avoided. Proximal to end arteries, localized ischemia may facilitate operative care. The effect of local anesthesia is self-limiting. By means of infiltration anesthesia or "field block", larger areas of skin are easily accessible for surgical treatment. The amount to be applied has to be adapted to the extent of the operation and the maximal dose. Postoperatively, after knee or hip arthroplasty, analgesia consumption can be reduced, and early mobilization promoted using LIA.

Identifiants

pubmed: 31612258
doi: 10.1007/s00064-019-00630-1
pii: 10.1007/s00064-019-00630-1
doi:

Types de publication

Journal Article Review

Langues

ger

Sous-ensembles de citation

IM

Pagination

4-12

Références

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Auteurs

Dominik Saul (D)

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland. Dominik.saul@med.uni-goettingen.de.

Jonathan Roch (J)

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland.

Wolfgang Lehmann (W)

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland.

Klaus Dresing (K)

Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Georg-August-Universität, Robert-Koch-Straße 40, 37075, Göttingen, Deutschland.

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Classifications MeSH