Systemic Lidocaine Decreased the Perioperative Opioid Analgesic Requirements but Failed to Reduce Discharge Time After Ambulatory Surgery

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Systemic lidocaine decreased the perioperative opioid analgesic requirements but failed to reduce discharge time after ambulatory surgery.

BACKGROUND In this randomized, blinded, placebo-controlled trial, we evaluated whether systemic lidocaine would reduce pain and time to discharge in ambulatory surgery patients. METHODS Sixty-seven patients were enrolled to receive lidocaine or saline infusion perioperatively. RESULTS Length of postanesthesia care unit (PACU) stay did not differ between groups. Intraoperative opioid use was...

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The role of non-opioid analgesic techniques in the management of pain after ambulatory surgery.

I n describing how patients feel after surgery, Armitage (1) stated that “slapping the patient on the face and telling him or her that it’s all over is a complete inversion of the truth” because as far as the patient is concerned, “it is often just the beginning.” Although the current armamentarium of analgesic drugs and techniques is impressive, effective management of postoperative pain still...

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Systemic lidocaine to improve postoperative quality of recovery after ambulatory laparoscopic surgery.

BACKGROUND Perioperative systemic lidocaine has been shown to have beneficial postoperative analgesic effects. The only previous study examining the use of lidocaine in the outpatient setting did not detect an opioid-sparing effect after hospital discharge. More importantly, it is unknown whether systemic lidocaine provides a better postoperative quality of recovery to patients undergoing ambul...

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Discharge criteria and complications after ambulatory surgery.

I n recent years, the emphasis in providing surgical services has undergone remarkable change. Previously, patients undergoing surgical procedures remained in a hospital for many days after the operation. In 1994, 66% of all elective operations in the United States were performed on an outpatient basis (1). More complex ambulatory procedures are being performed on sicker patients (2). With the ...

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Postoperative pain scores and analgesic requirements after thyroid surgery: Comparison of three intraoperative opioid regimens

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ژورنال

عنوان ژورنال: Anesthesia & Analgesia

سال: 2009

ISSN: 0003-2999

DOI: 10.1213/ane.0b013e3181be371b