Local anesthesia
(Redirected from
Regional anesthesia
)Local anesthesia | |
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MeSH | D000772 |
Local anesthesia is any technique to induce the absence of
general anesthesia.[2]
The following terms are often used interchangeably:
- Local anesthesia, in a strict sense, is anesthesia of a small part of the body such as a tooth or an area of skin.
- Regional anesthesia is aimed at anesthetizing a larger part of the body such as a leg or arm.
- Conduction anesthesia encompasses a great variety of local and regional anesthetic techniques.
Medical
A local anesthetic is a
analgesia (loss of pain sensation) and paralysis (loss of muscle power) can be achieved. Clinical local anesthetics belong to one of two classes: aminoamide and aminoester local anesthetics. Synthetic local anesthetics are structurally related to cocaine. They differ from cocaine mainly in that they have no abuse potential and do not act on the sympathoadrenergic system, i.e. they do not produce hypertension or local vasoconstriction, with the exception of Ropivacaine and Mepivacaine
that do produce weak vasoconstriction. Unlike other forms of anesthesia, a local can be used for a minor procedure in a surgeon's office as it does not put you into a state of unconsciousness. However, the physician should have a sterile environment available before doing a procedure in their office.
Local anesthetics vary in their pharmacological properties and they are used in various techniques of local anesthesia such as:
- Topical anesthesia (surface) - Similar to topical gel numbing before getting injected with Lidocaine.
- Infiltration
- Plexus block
Adverse effects depend on the local anesthetic method and site of administration discussed in depth in the local anesthetic sub-article, but overall, adverse effects can be:
- localized prolonged anesthesia or paresthesia due to infection, hematoma, excessive fluid pressure in a confined cavity, and severing of nerves & support tissue during injection.[3]
- systemic reactions such as depressed local anesthetic toxicity.
- lack of anesthetic effect due to infectious pus such as an abscess.
Non-medical local anesthetic techniques
Local pain management that uses other techniques than analgesic medication include:
See also
References
- ^ thefreedictionary.com > local anesthesia In turn citing: Mosby's Medical Dictionary, 8th edition. Copyright 2009
- PMID 26917912.
- ^ "Nerve damage associated with peripheral nerve block" (PDF). Risks Associated with Your Anaesthetic. Section 12. The Royal College of Anaesthetists. January 2006. Archived from the original (PDF) on 2007-10-09. Retrieved 2007-10-10.
- PMID 20042705.
- S2CID 22767485.
- PMID 15246338.
- S2CID 24552444.
- PMID 17256025. Archived from the original(PDF) on August 28, 2008.
- PMID 15246341.
External links
- New York School of Regional Anesthesia
- Anesthesia Books Archived 2019-12-30 at the Wayback Machine
- General information and tutorials in peripheral regional anesthesia
- worldanaesthesia.org Free online manual of regional anaesthesia - John Hyndman
- Clinical Use of Peripheral Nerve Stimulators and The Neuromuscular Junction
- ESRA - The European Society for Regional Anaesthesia Congress