Local Infiltration Analgesia: A Technique for Orthopaedic Surgery of the Hip Knee and Lumbar Spine

The concept of integrating pain management into the surgical process as a single entity is new and exciting. The use of
local anaesthetic to block post-operative pain at the site of its generation is here refined into a management program
allowing early mobilisation and dramatic pain control in the early post-operative period. This multimodal technique is
demonstrated here with application to lower limb arthroplasty and spinal surgery. This is not only a detailed
explanation and instruction in the technique and concept, but a historical perspective on its development, and will be
of great interest to all orthopaedic surgeons as well as anaesthetists.

Using easy-to-understand terminology, this text covers:

뷡IA methods
븆re- and postoperative management
뷻ow to select a needle injection location
븊he benefits of combining the LIA technique with the drugs Naropin, Marcain, and Xylocaine
Color images throughout the text highlight the advantages of LIA, including:
◦avoidance of sedation
◦simple execution for physicians
◦reduced risk of infection and blood clots little physiological disturbance
◦earlier patient discharge and return to the workforce
◦improved patient performance, outlook, and mobility
◦fewer medical expenses


뷚oreword Lawrence Kohan
Preface
? How It All Started
? Physiology and Anatomy
? Local Infiltration Analgesia
? Safety Issues
? Outcomes
? Thromboprophylaxis and Local Infiltration Analgesia
? Infection and Local Infiltration Analgesia
? Local Infiltration Analgesia for Lumbar Spine Surgery Peter J Papantoniou and Dennis R Kerr
? Postoperative Care
?0 Implementation ?Making It Work
뷒ppendix 1 ?Ropivacaine
뷒ppendix 2 ?Local Anaesthetic Toxicity
뷒ppendix 3 ?Lipid Rescue Protocol
뷒ppendix 4 ?Patient Information Sheets
4.1 Total Hip Replacement 4.2 Total Knee Replacement 4.3 Norspan 5 Skin Patches
뷒ppendix 5 ?Staff Information
5.1 Nursing protocols at St Luke뭩 Hospital for administration of local infiltration analgesia 5.2 Clinical policy
manual at St George Private Hospital on administration and observations for local anaesthetic reinjection and topup:
orthopaedic patients
뷞ndex