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For selected endourological interventions, local anesthesia provides an alternative to general anesthesia and can avoid complications and reduce turnover times and health care costs. Virtual reality (VR) has emerged as a promising nonpharmacological adjunct with potential to improve local anesthesia tolerability. This mini-review examines the role of VR during urological procedures under local anesthesia.
View Article and Find Full Text PDFUltrasound-guided release of carpal tunnel syndrome - anterograde technique.
Hand Surg Rehabil
January 2025
Unidade do Punho e Mão, Hospital Cuf Tejo, Lisboa, Portugal; Centre Hospitalier Régional Universitaire de Nîmes, Department of Orthopaedic Surgery, Nîmes, France; Orthopaedic Group Ormeau Pyrénées, Polyclinique de L'Ormeau - ELSAN, Tarbes, France.
Compression of the median nerve in the carpal tunnel is a frequent pathology with severe functional impact. An ultrasound-guided technique was developed to preserve structures, diminish scar fibrosis and enable fast return to full activity. Its advantages are safety and low additional cost.
View Article and Find Full Text PDF"Mechanical Integrity Assessment of Polymethylmethacrylate Bone Cement Incorporating Local Anesthetics: Implications for Joint Arthroplasty".
J Arthroplasty
January 2025
Hospital Clínic Barcelona, Department of Orthopaedic Surgery and Traumatology. Villarroel, 170. 08036 Barcelona, Spain.
Background: Effective management of postsurgical pain following arthroplasty remains a challenge, lacking a definitive gold standard. As most knee and hip arthroplasties are cemented or hybrid, we used the property of bone cement as a drug carrier and added powdered local anesthetics (lidocaine hydrochloride and bupivacaine hydrochloride) to the polymethylmethacrylate (PMMA) as analgesics. However, the addition of drugs to bone cement may compromise its mechanical properties, necessitating a thorough analysis.
View Article and Find Full Text PDFTreatment of Focal Thoracic Ossification of the Ligamentum Flavum by Percutaneous Posterolateral Transforaminal Endoscopic Surgery Under Local Anesthesia: A Case Series Study.
J Surg Res
January 2025
Fujian Medical University Union Hospital, Fuzhou, China. Electronic address:
Introduction: Minimally invasive techniques, such as percutaneous endoscopic discectomy, are increasingly utilized for treating focal thoracic ossification of the ligamentum flavum (TOLF), where their safety and efficacy needs to be further confirmed. The purpose of this study was to investigate the safety and efficacy of percutaneous posterolateral transforaminal endoscopic surgery under local anesthesia for treating focal TOLF.
Methods: This case series study reviewed medical records of 12 cases diagnosed with focal TOLF who underwent percutaneous posterolateral transforaminal endoscopic surgery under local anesthesia from December 2016 to July 2019 at Fuzhou Second Hospital.
Continuous local infiltration analgesia is equal to femoral and sciatic nerve block for total knee arthroplasty.
Arch Orthop Trauma Surg
January 2025
Department of Anaesthesia, Main-Kinzig-Kliniken, Herzbachweg 14, 63571, Gelnhausen, Germany.
Background: Total knee arthroplasty (TKA) is associated with moderate to severe postoperative pain. Pain control is crucial for rapid mobilisation and reduces side effects as well as the length of hospital stay. In this context, a variety of multimodal pain control regimes show good pain relief, including several nerve blocks, iPACK and local infiltration analgesia (LIA).
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