[Preemptive local anesthetic infiltration in XXXX one-day surgery].

@entity1 @entity7988 @entity1337 @entity44619 @entity1341 @entity4553 @entity3303 @entity56 @entity158 @entity1443 @entity282
BACKGROUND: The surgical treatment of @entity4553 is connected with significant @entity282 . Spinal and general anesthesia as well as peripheral blocks are successfully used in foot surgery. The purpose of this study was to evaluate the influence of local anesthetic infiltration before @entity4553 one-day surgery on @entity282 and the need for analgesics. MATERIAL AND METHODS: 134 @entity1 underwent chevron or miniinvasive @entity44619 of the first distal metatarsal. After general anesthesia each @entity1 randomly received an infiltration of 7ml of local anesthetic (4 ml of 0.25% @entity1341 and 3 ml of 2% @entity3303 ) or the same amount of normal saline 15 minutes before the skin incision. Both the @entity1 and the surgeon were blinded. The @entity1 was discharged after approximately 2 hours of observation. 2, 4, 8, 12, 16, 24 and 72 hours after the release of the tourniquet the level of @entity158 was assessed by the visual analogue scale (VAS). Rescue @entity1337 , side effects and the use of painkillers were noted. RESULTS: Preemptive local anesthetic infiltration significantly decreased @entity158 during the first 24 hours after the surgery. None of the @entity1 from the injected group and 38 from the placebo group received 100 mg of @entity7988 intravenously for rescue @entity1337 in the first 2 hours after the release of the tourniquet. During the first 24 hours we noted significantly decreased use of 1000 mg of @entity1443 and 100 mg mg of @entity7988 orally in the injected group. No systemic adverse effects were noted. One @entity1 from placebo group had @entity56 rush after use of 100 mg @entity7988 . CONCLUSIONS: Preemptive local anesthetic infiltration in one-day @entity4553 surgery significantly decreases @entity282 . It is safe, efficient and allows fast discharge.
