Physical Medicine Rehabilitation

Clinical use of local anesthetics by Asadolah Saadatniaki

By Asadolah Saadatniaki

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Nasir Sulaiman1 1Dept of Surgery, Aga Khan University University of Health Sciences Pakistan 2Dow 1. Introduction Surgical procedures under local anesthesia provide unique advantages. They are associated with less patient anxiety antecedent with the use of general or major regional anesthesia. It is also associated with quicker recovery, less day care recovery room stay and earlier returns to work. It is therefore not surprising that there is considerable interest both among patients and surgeons.

The conventional radiological imaging techniques lack in detection of small lesions in the urinary bladder. In cystoscopy, the urinary bladder is evaluated through urethra with the help of a telescope or microscope attached to the tip of cystoscope, with local anesthesia administered for it most of the times. It is indicated for investigations in cases of urinary tract infections, hematuria, and incontinence, pain during urination, prostate hypertrophy, and calculus in the urinary tract, among others.

The subsequent solution is lidocaine with adrenaline, but at same pH as plain lidocaine. 19 24 Clinical Use of Local Anesthetics 4. Tumescent anesthesia20 This is a technique of local anesthesia which involves the subcutaneous injection of large volumes of dilute LA in combination with adrenaline and other agents is used for dermabrasion, skin grafting, rhinophyma correction, liposuction and hair transplant procedures, most common being liposuction. The plasma concentrations may peak more than 8-12 hours after infusion.

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