ISSN: 2155-6148
+44 1223 790975
Henrik Kehlet
Denmark
Research Article
High-Volume Infiltration Analgesia in Major Lumbar Spine Surgery. A Randomized, Placebo-Controlled, Double-Blind Trial
Author(s): Billy B Kristensen, Hikmet Karacan, Marianne Agerlin, Lars Nimb, James Stentoft, Jon Tuxøe and Henrik KehletBilly B Kristensen, Hikmet Karacan, Marianne Agerlin, Lars Nimb, James Stentoft, Jon Tuxøe and Henrik Kehlet
Background: High-volume local infiltration analgesia is effective in knee arthroplasty, but the analgesic efficacy of systematic infiltration with high-volume local anesthetic in major lumbar spine surgery in L3 to S1 has not been clarified. We conducted a trial to evaluate the analgesic efficacy of intraoperative Local Infiltration Analgesia (LIA) administration and postoperatively via injections through intraoperatively placed wound catheters.
Methods: In a randomized, double-blind, placebo-controlled trial in 48 patients undergoing major lumbar spine fusion surgery, 70 mL saline (n=24) or ropivacaine 0.5% with adrenaline (n=24) was infiltrated using a systematic technique to all tissue incised, handled or instrumented during surgery and with repeated injections at 6, 12 and 24 h postoperatively with 10, 10 and 20 mL. Twenty-two patients in .. View More»
DOI:
10.4172/2155-6148.1000450