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Local and regional anaesthesia 

Local and regional anaesthesia
Chapter:
Local and regional anaesthesia
Author(s):

Anil Gupta

and Ian Smith

DOI:
10.1093/med/9780199584338.003.0007
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date: 18 January 2020

Introduction 94

Advantages of regional anaesthesia 95

Limitations of regional anaesthesia 95

Local anaesthetic agents 96

Techniques in ambulatory surgery 98

Regional anaesthetic techniques 100

Toxicity of local anaesthesia 104

Recent developments in local and regional anaesthesia 107

Summary 107

Many surgical procedures have long been performed using local anaesthetics alone, without requiring the patient to be asleep. In addition to providing complete perioperative analgesia, local anaesthetics have several other potentially useful effects that can be of benefit in the clinical situation. These include bacteriostatic, anti-hyperalgesic, anti-inflammatory, and anti-thrombotic effects, as well as a beneficial effect on bronchial hyperreactivity. Thus, when used correctly and in adequate doses, local anaesthetics provide several benefits with few side effects and are now being increasingly used, and in novel ways, for perioperative care of the ambulatory surgery patient....

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