Transversus abdominal plane (TAP) block has a long history and there is currently extensive clinical experience around TAP blocks. The aim of this review is to provide a summary of the present evidence on the effects of TAP block and to provide suggestions for further studies. There are several approaches to performing abdominal wall blocks, with the rapid implementation of ultrasound-guided te...

BackgroundFor most procedures, there is insufficient evidence to guide clinicians in the optimal timing of advanced analgesic methods, which should be based on expected time course acute postoperative pain severity and aimed at points where basic analgesia has proven insufficient.MethodsWe conducted a systematic search literature trials for total hip arthroplasty (THA), extracting pooling score...

BACKGROUND AND OBJECTIVES High-volume local infiltration analgesia (LIA) is widely applied as part of a multimodal pain management strategy in total hip arthroplasty (THA). However, methodological problems hinder the exact interpretation of previous trials, and the evidence for LIA in THA remains to be clarified. Therefore, we evaluated whether intraoperative high-volume LIA, in addition to a m...

OBJECTIVES To compare analgesic efficacy and pain caused by administration of lidocaine/prilocaine cream (EMLA(R)) versus xylocaine 1% local infiltration for punch biopsy and electrocoagulation of genital warts in men. DESIGN Open randomised comparative parallel-group study. SETTING Department of Dermatovenereology, University Hospital Rotterdam/Dijkzigt, the Netherlands. PATIENTS 63 male...

Since the mid-1970s, the use of local anaesthesia by podiatrists has been a routine part of practice and has facilitated the application of many techniques that have been developed to the benefit of the patient. The methods employed range from local infiltration of the anaesthetic agent at the site of the lesion to nerve trunk block techniques that prevent sensory stimulus from the area of the ...

BACKGROUND Surgical pain is managed with multi-modal anaesthesia in total hip replacement (THR) and total knee replacement (TKR). It is unclear whether including local anaesthetic infiltration before wound closure provides additional pain control. METHODS We performed a systematic review of randomised controlled trials of local anaesthetic infiltration in patients receiving THR or TKR. We sea...