Instill local
Alle deler > BILL > Studier > Fot abs
Haddon J, Finsen V:
POOR ANALGESIC EFFECT OF INSTILLING LOCAL ANAESTETHETIC DURING SURGERY FOR HALLUX VALGUS
Foot 2003; 13: 136-39.
We studied the effect on postoperative pain of instilling, rather than injecting, long acting local anaesthetic into the wound during forefoot surgery. In a double blind, randomised, prospective study of 34 women undergoing Mitchell’s osteotomy for hallux valgus, we instilled either isotonic saline or bupivacaine solution into the operation wound before closure. Patients kept a diary regarding postoperative pain and use of analgesic tablets. We found a statistically significant moderate reduction in pain in the bupivacaine group for the first postoperative 8hours (P = 0.01), but could not find evidence of less pain after this time, less maximum pain, or less use of analgesics throughout the whole of the postoperative period. We conclude that the effect of simply instilling bupivacaine before closure of the wound after operation