title: Postoperative pain relief using local anesthetic instillation.
abstract: Effective pain control following surgery is a concern. Oral narcotic agents may be effective yet have many side effects. Parenteral agents are impractical in outpatient procedures. Local blocks may distort tissue planes and require additional time and technical skill to administer. We have found that instillation of local anesthetic (0.5% bupivacaine [Marcaine, Sensorcaine]) into the wound prior to closure is a safe and effective means of providing significant reduction in postoperative foot pain.
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 55905.
authors.forename: M H
authors.initials: MH
authors.lastname: Bourne
authors.forename: K A
authors.initials: KA
authors.lastname: Johnson
mesh_terms: D000287:Administration, Topical; D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000379:methods*; D002045:Bupivacaine / Q000008:administration & dosage*; D005260:Female; D005534:Foot Diseases / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy*
chemical_list: D002045:Bupivacaine