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Results for “Anesthesia, Local”

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At least 181 records · Page 10Linked to original sources

PubMed2000

Is local anesthesia an affordable alternative to general anesthesia for minilaparoscopy?

STUDY OBJECTIVE: To determine if minilaparoscopy under local anesthesia is at least as reliable and affordable as that performed under general anesthesia. DESIGN: Prospective, randomized study (Canadian Task Force classification I). SETTING: University-affiliated hospital. PATIENTS: One hundred sixty-four consecutive women evaluated for infertility. INTERVENTION: Diagnostic minilaparoscopy performed after women were randomized to receive general or local anesthesia with conscious sedation. MEASUREMENTS AND MAIN RESULTS: Levels of postoperative pain measured by visual analog scale; volume of CO(2) used; length of procedure, complete pelvic evaluation, and hospitalization; complications; and pathologic diagnosis were evaluated. The groups were comparable in age, years of infertility, and symptoms. For women receiving local anesthesia, 5.5% required general anesthesia to complete the procedure. Women in both groups required postoperative analgesics. The groups had no statistically significant differences in pain level 1 hour after the procedure, number of complications, and pelvic pathology. Patients who had local anesthesia required a smaller volume of CO(2) (p <0.01) and their hospitalization was significantly shorter (p <0.01). However, in 15% of these women pelvic visualization was incomplete, compared with 7.2% in the general anesthesia group. CONCLUSION: Minilaparoscopy performed under local anesthesia was as reliable and affordable as when performed under general anesthesia.

Adult↗

PubMed2003

The role of antibiotic prophylaxis on wound infection after mesh hernia repair under local anesthesia on an ambulatory basis.

Mesh prosthesis, local anesthesia, and ambulatory care have been widely introduced in recent decades in the treatment of inguinal hernia. The use of antibiotic prophylaxis during open inguinal hernia repair has been controversial. No prospective trial has been conducted to assess the role of antibiotic prophylaxis in patients operated on for inguinal hernia under the above-mentioned conditions. A prospective, randomized, double-blinded trial was initiated to assess the efficacy of antibiotic prophylaxis in the prevention of wound infection during open mesh inguinal hernia repair under local anesthesia on an ambulatory basis. Ninety-nine consecutive hernia repairs were randomized to receive 1 g of parenteral Cefazolin preoperatively or a placebo. No wound infections existed in the therapeutic group (0/50). Four infections appeared in the control group (4/49), and the study was suspended for ethical reasons when differences reached values close to statistical significance ( P=0.059). We conclude that a single dose of intravenous Cefazolin decreases the risk of wound infection during open mesh inguinal hernia repair under local anesthesia on an ambulatory basis.

Aged↗

PubMed1975

Suppression of mouse killing and apomorphine-induced social aggression in rats by local anesthesia of the mystacial vibrissae.

Local anesthesia of the facial epidermis can effect a substantial decrease in shock-elicited fighting of paired rats. The present experiments constitute methodological extensions to mouse killing and spontaneous drug-induced social aggression. In the first experiment, known mouse-killing rats were given bilateral lidocaine or placebo injections administered under ether anesthesia. Attack and kill latencies were significantly longer under lidocaine than under placebo; all subjects killed under placebo, whereas a third of all subjects failed to kill on the initial lidocaine test. On subsequent lidocaine testing, latencies decreased and nonkilling rats killed. In a second experiment intense apomorphine-induced conspecific fighting of rats preselected for aggressiveness was markedly reduced following lidocaine anesthesia. The comparative results of both experiments are interpreted in reference to theoretical assertions regarding the import of sensory information in stimulus-bound attack and the typology of central aggression systems.

Aggression↗

PubMed2005

The use of anxiolytic medications to supplement local anesthesia in the anxious patient.

Local anesthetic failures in dental patients can have many causes, including anatomical variations, technique, and anxiety/fear. By understanding the mechanisms responsible for failed local anesthesia, patients can be treated more comfortably. The interaction of anxiety and fear is discussed. Oral sedation dentistry is highlighted as a way to reduce anxiety/fear and the patient's perception of pain. Profound anesthesia can be accomplished more easily in relaxed patients with diminished or eliminated anxiety/fear.

Adult↗

PubMedDate not supplied

[Combined simple technic of local anesthesia].

Combined Simple Technic of Local Anesthesia, 2% of Lidocaine HCl 1.8 CC. was use in the Dental Clinic of Ubol Hospital & Mobile dental unit, for more than 20 years. All lower teeth could be extracted in 3 minutes, faster than the Mandibular N: Block only, the side effect, complication, and post extraction pain were found to be the same. The results showed markedly improvement of the efficiency of the Dental Services.

Anesthesia, Dental↗

PubMed1993

[Treatment of urethral stenosis with endoscopic urethrotomy with local anesthesia].

We evaluated the efficacy of local anesthesia for endoscopic urethrotomy in 20 cases of urethral stricture. Patient clinical features and maximum urine flow data before and after the procedure were compared. The technical difficulties encountered are described. Bladder neck sclerosis and/or stricture of the posterior urethra complicated the procedure. Endoscopic urethrotomy using local anesthesia is effective in the treatment of urethral stricture.

Anesthesia, Local↗

PubMed1987

Ureteroscopy under local anesthesia.

Ureteroscopy has been performed with local anesthesia with and without sedation in 30 patients. Flexible endoscopes were used in 18, rigid endoscopes alone in 7, and rigid and flexible instruments in 5 patients. The flexible instruments ranged in size from 4F to 10F, while rigid instruments were 10F to 12F. Although most procedures were diagnostic, calculi were removed from the distal ureter in 4 patients and from the midureter in 1 patient. Ultrasonic lithotripsy was utilized in 1 patient. The success and tolerance of flexible or distal rigid ureteroscopy with local anesthesia permits its recommendation in carefully selected patients.

Aged↗

PubMed1953