Regional anaesthesia for ambulatory surgery
Best Practice and Research: Clinical Anaesthesiology
; 2023.
Article
in English
| EMBASE | ID: covidwho-2233795
ABSTRACT
Regional anaesthesia (RA) has an important and ever-expanding role in ambulatory surgery. Specific practices vary depending on the preferences and resources of the anaesthesia team and hospital setting. It is used for various purposes, including as primary anaesthetic technique for surgery but also as postoperative analgesic modality. The limited duration of action of currently available local anaesthetics limits their application in postoperative pain control and enhanced recovery. The search for the holy grail of regional anaesthetics continues. Current evidence suggests that a peripheral nerve block performed with long-acting local anaesthetics in combination with intravenous or perineural dexamethasone gives the longest and most optimal sensory block. In this review, we outline some possible blocks for ambulatory surgery and additives to perform RA. Moreover, we give an update on local anaesthesia drugs and adjuvants, paediatric RA in ambulatory care and discuss the impact of RA by COVID-19. Copyright © 2022 Elsevier Ltd
ambulatory surgery; day surgery; regional anaesthesia (RA); ambulatory care; child; coronavirus disease 2019; human; intravenous drug administration; local anesthesia; nerve block; perineurium; peripheral nerve; postoperative pain; regional anesthesia; review; surgery; analgesic agent; dexamethasone; local anesthetic agent
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Best Practice and Research: Clinical Anaesthesiology
Year:
2023
Document Type:
Article
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