LOCAL ANESTHESIA - Practical Plastic Surgery

LLOOCCAALL AANNEESSTTHHEESSIIAAFull surgical evaluation of a wound and suture placement can bequite painful. You must anesthetize the injured area to perform theseprocedures properly. The administration of a LOCAL anesthetic allowsyou to evaluate and treat wounds in the emergency department orclinic. If you are unable to attain adequate pain control, the patientshould be taken to the operating room for exploration under anesthetics work by reversibly blocking nerve conduction. Theyprimarily block the sensation of sharp pain; they do not block pressuresensation. Therefore, in an area that has been adequately anesthetized,the patient will not feel the sharp needle stick during suture placementbut may feel a vague sensation of pressure. This information should beshared with the patient.

30 Practical Plastic Surgery for Nonsurgeons Application of cold works for only a few minutes but may allow enough time to place one or two stitches.

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