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Post op HAV surgery pain management

Discussion in 'Foot Surgery' started by NewsBot, Dec 20, 2007.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Multi-modal-analgesia for pain management after Hallux Valgus surgery: a prospective randomised study on the effect of ankle block
    Ibrahim Turan , Hamid Assareh , Christer Rolf and Jan Jakobsson
    Journal of Orthopaedic Surgery and Research 2007, 2:26doi:10.1186/1749-799X-2-26
     
  2. drsarbes

    drsarbes Well-Known Member

    hmmmmmmm.
    Well, give a marcaine block and make sure the bandage isn't tight and there will be little to no pain for 20-24 hrs.
    Perhaps someone can explain the results of this study to me.
    Is it trying to say that a post op block has no effect on post operative pain management?????
    Ridiculous.

    Steve
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Pain management after elective hallux valgus surgery: a prospective randomized double-blind study comparing etoricoxib and tramadol.
    Brattwall M, Turan I, Jakobsson J.
    Anesth Analg. 2010 Aug;111(2):544-9. Epub 2010 Jun 28.
     
  4. W J Liggins

    W J Liggins Well-Known Member

    The study does not specify whether a full ankle block was carried out, although the volume of L.A. used would suggest that it was; however, the abstract does not describe what a 'single shot ankle block' consists of. If, as suggested, the test applied was the need for oral analgesics within the 24 hours post op. then I can understand the lidocaine group requiring this after 1 hour and the levo-bupivacaine requiring oral analgesia from perhaps 6 hours post-operatively. I concur with Steve that personally, I have not found levo-bupivacaine 2.5% as effective as bupivacaine 0.5%, but that is anecdotal.

    If it is the case that a full ankle block has been carried out and that the L.A. is no more effective than saline for, say, the first 6 hours post-op. then one must question the technique.

    Bill Liggins
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Comparison of multi-drug injection versus placebo after hallux valgus surgery.
    Kim BS, Shim DS, Lee JW, Han SH, Ko YK, Park EH.
    Foot Ankle Int. 2011 Sep;32(9):856-60.
    Abstract
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Anesthesia and postoperative analgesia after percutaneous hallux valgus repair in ambulatory patients.
    Adam F, Pelle-Lancien E, Bauer T, Solignac N, Sessler DI, Chauvin M.
    Ann Fr Anesth Reanim. 2012 Oct 3.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Comparison of 3 combinations of 0.5% levobupivacaine and 1% mepivacaine in popliteal sciatic block in hallux valgus outpatient surgery
    Faulí A, Anglada MT, Gomar C, Sala X, López A, Pons M, Gambús P, Fábregas N.
    Rev Esp Anestesiol Reanim. 2012 Oct 3.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Subcutaneous Injection of Diclofenac for the Treatment of Pain Following Minor Orthopedic Surgery (DIRECT study): A Randomized Trial
    Eugenio Chiarello et a
    Pain Practice; Early View
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Onset and Duration of Anesthesia for Local Anesthetic Combinations Commonly Used in Forefoot Surgery; Surprise results with Sequential Blocks
    Marie Mantini Blazer et al
    The Foot; Article in Press
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  12. simonf

    simonf Active Member

    Anyone got the full article?
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Ambulatory surgery under intra-articular anesthesia in the management of hallux valgus deformity. A report on fifty-four patients
    V?zquez BR, G?mez GEE, S?nchez CR
    source
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Similar levels of pain are reported in forefoot surgery after management as a day case and admission for 48 hours: A continuous prospective study of 317 patients.
    Chaudier P et al
    Bone Joint J. 2015 Dec;97-B(12):1645-50
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Postoperative analgesic efficacy of dexamethasone sodium phosphate versus triamcinolone acetonide in bunionectomy: A prospective, single-blinded pilot randomized controlled trial
    Chris Olivia Ongzalima et al
    The Foot and Ankle Online Journal 9 (2): 3
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A randomised controlled trial comparing two popliteal nerve catheter tip positions for postoperative analgesia after day-case hallux valgus repair
    A. L. Ambrosoli et l
    Anaesthesia; Volume 71, Issue 11 November 2016
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Continuous Wound Infiltration After Hallux Valgus Surgery.
    Braito M et al
    Foot Ankle Int. 2017 Oct 1:1071100717736292. doi: 10.1177/1071100717736292
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    PROSPECT guideline for hallux valgus repair surgery:
    a systematic review and procedure‐specific
    postoperative pain management recommendations

    Katarzyna Korwin-Kochanowska, et al
    Reg Anesth Pain Med 2020;0:1–7.
     
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