Local Infiltration Analgesia

Primarily used in knee and hip surgery, local infiltration analgesia (LIA) has been shown to have overwhelmingly positive effects on patients by controlling pain and offering a speedy recovery.

Useful for clinicians who are both new to and familiar with LIA, this text demonstrates its techniques and presents evidence of its advantages in procedures outside the knee and hip region.

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The concept of integrating pain management into the surgical process as a single entity is new and exciting. The use of local anaesthetic to block post-operative pain at the site of its generation is here refined into a management program allowing early mobilisation and dramatic pain control in the early post-operative period. This multimodal technique is demonstrated here with application to lower limb arthroplasty and spinal surgery. This is not only a detailed explanation and instruction in the technique and concept, but a historical perspective on its development, and will be of great interest to all orthopaedic surgeons as well as anaesthetists.

Using easy-to-understand terminology, this text covers:



LIA methods
Pre- and postoperative management
How to select a needle injection location
The benefits of combining the LIA technique with the drugs Naropin, Marcain, and Xylocaine

Color images throughout the text highlight the advantages of LIA, including:

- avoidance of sedation
- simple execution for physicians
- reduced risk of infection and blood clots
- little physiological disturbance
- earlier patient discharge and return to the workforce
- improved patient performance, outlook, and mobility
- fewer medical expenses