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British Journal of Anaesthesia, 2002, Vol. 89, No. 4 535-537
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Editorial

Editorial I

Intraperitoneal administration of analgesia: is this practice of any utility?

A. Ng1 and G. Smith1

1 University Department of Anaesthesia, Critical Care & Pain Management, Leicester Royal Infirmary, Leicester LE1 5WW, UK

The first 10% of the full text of this article appears below.

Local anaesthetic techniques are part of the multimodal approach to postoperative pain management.1 This involves the use of opioids, non-steroidal anti-inflammatory drugs (NSAIDs)2, paracetamol3 and local anaesthetics.4 The purpose of this editorial is to review whether or not instillation of local anaesthetics into the peritoneal cavity is a worthwhile modality in routine clinical practice during some intra-abdominal procedures.

Data from a nationwide survey in the UK of anaesthesia for gynaecological laparoscopy revealed that local anaesthetic solutions are administered commonly, particularly into the wound and the peritoneal cavity.5 For this type of ambulatory surgery and anaesthesia, the main advantage of using local anaesthetics is that they do not have the adverse effects of opioids, which may delay recovery and discharge from hospital. These effects include postoperative nausea, sedation,2 impairment of return of gastrointestinal motility, and pruritis. In addition, . . . [Full Text of this Article]


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I. D. Conacher, N. A. Soomro, and D. Rix
Anaesthesia for laparoscopic urological surgery
Br. J. Anaesth., December 1, 2004; 93(6): 859 - 864.
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