TY  - CHAP
M1  - Book, Section
TI  - Intra-articular and Periarticular Infiltration of Local Anesthetics
A1  - Raeder, Johan
A1  - Spreng, Ulrich J.
A2  - Hadzic, Admir
PY  - 2017
T2  - Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e
AB  - Infiltration  or  instillation  of  local  anesthetics  around  and  into  the  joint  as  an  analgesic  adjunct  for  postoperative  joint  surgery  pain  has  been  used  for  decades.  However,  there  has  been  a  renewed  interest  in  local  infiltration  analgesia  (LIA),  partly  due  to  the  work  in  2008  of  Kerr  and  Kohan,1  who  demonstrated  superior  analgesia  after  total  knee  or  hip  arthroplasty  with  extended,  diluted  infiltration  of  local  anesthesia  with  epinephrine  and  ketorolac  added  and  repeated  injections  through  intra-articular  catheters.  The  interest  in  using  LIA  in  knee  and  hip  surgery  may  be  also  due  to  the  lack  of  the  simpler  regional  anesthesia  alternatives  that  exist  for  other  joints.  For  instance,  analgesia  after  shoulder  and  upper  extremity  surgery  can  be  accomplished  with  a  simple,  single  injection  block  of  the  brachial  plexus,  whereas  analgesia  for  hip  and  knee  joints  requires  multiple  and  more  technically  challenging  nerve  blocks.  Also,  while  motor  weakness  is  common  with  nerve  blocks,  infiltration  analgesia  typically  spares  the  motor  function.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1141732006
ER  -