0
votes
1answer
32 views
Failure of intra-articular local anaesthesia after arthroscopy
The orthopaedic surgeons I work with all use intra-articular bupivacaine (+/- morphine or magnesium) after their knee arthroscopies. This usually works well, and I give no opioid, …
2
votes
1answer
60 views
What is the role for lignocaine infusions for analgesia?
I took over an anaesthetic for a laparotomy half-way through yesterday and found that the other anaesthetist was running a lignocaine (lidocaine) infusion for analgesia (not that t …
1
vote
3answers
65 views
How do you manage the pain when an interscalene block wears off?
An orthopedic surgeon that I work with has complained about the pain management of his total shoulder replacement patients. I always put a single-shot interscalene block in and the …
3
votes
1answer
43 views
Experience with combination paracetamol/ibuprofen analgesics such as Maxigesic?
Maxigesic is a combination analgesic containing paracetamol (acetaminophen) and the NSAID ibuprofen in the dose of 500mg/150mg respectively. Our NZ colleagues have published an RCT …
2
votes
0answers
31 views
Do 5HT3 antagonists really reverse the analgesic effects of paracetamol and tramadol?
I've been told recently that if I give a 5HT3 antagonist (-setrons) to prevent or treat PONV then I shouldn't bother using paracetamol (acetaminophen) or tramadol as these drugs ar …
1
vote
0answers
23 views
Is it worth performing femoral nerve blocks for total knee replacements?
How beneficial is a single shot femoral nerve block for a patient undergoing a total knee replacement? They're quick and easy to do and fairly low risk but do the patients benefit …
1
vote
0answers
8 views
How significant is the phenomenon of remifentanil induced hyperalgesia?
I often use remifentanil during major cases for the outstanding wake-up characteristics you get with a suitable bolus of fentanyl or morphine at the end of the case. I've found pat …
