By Asadolah Saadatniaki
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Additional resources for Clinical use of local anesthetics
Aside from troubles derived from the surgery it’s self, the surgery lasts longer in obese patients that feel uncomfortable in a supine position at the operation table. 2 Postoperative evolution (Table 4) The first control was realized 24 hours after the operation. Our purpose was to control the mobility of patients and to have a look to the performance of daily activities at home. Motility, respiratory and digestive tract functions were evaluated. At this early stage of the evolution, abdominal pain was the principal complaint of patients, understandable because of the traction of the flat muscles of the abdominal wall upon the suture in the midline.
Most of the local procedures are performed in an operating room setting with a nurse anesthetist in attendance that may administer small amounts of additional intravenous sedation during the procedure. The main goal is to have the patient comfortable during the procedure, but also to be awake and conversant. The local anesthesia techniques vary according to site and procedure. Patient selection is critical for the success of any procedure under local anesthesia. The patient must not be overly anxious and must be willing to accept the surgical technique and anesthesia that is described in detail during the preoperative discussion.
Mafong E, Friedman E et al. Topical anesthetic update: Emla and beyond. Dermatol Surg 2001; 27:1019-26. M, ‘Needle-Free’ Delivery of Local Anesthesia: A Valuable Option in Pediatrics. Pediatric Drugs 2002; 4: 349-52.  Banga AK, Bose S, Ghosh TK. Iontophoresis and electroporation: comparisons and contrasts, International Journal of Pharmaceutics. 1999; 179(2): 1-19  Carruthers J, Carruthers A. (Eds). Soft Tissue Augmentation,New Delhi:Elsevier 2006, 155-159.  Arndt KA, Burton C, Noe JM.
Clinical use of local anesthetics by Asadolah Saadatniaki