Of the three categories of regional anesthesia (i.e., neuraxial, peripheral, and field blocks
), this article will focus on the latter two.
The present study was designed to evaluate the efficacy of dexmedetomidine compared to midazolam for providing MAC in patients undergoing inguinal herniorrhaphy under inguinal field block
. This was assessed by comparing the requirement of rescue analgesic (Primary outcome) between the two groups.
On the day of surgery Midazolam 1mg given IV just before instituting field block
(5.) Dierking S.W., Dahl J.B, Kenelt H: Effect of Pre Vs Post-Operative Inguinal field block
on post-operative pain after herniorraphy, British Journal Anaesthesia--1992: 68: 344-8.
Abdominal Field Block
: a New Approach via the Lumbar Triangle; Anaesthesia; 2001; 56: 1024-6.
Several surveys suggest that for this procedure most anesthesiologists choose GA (60-70%) and far fewer choose centroneuraxial blocks (10-20%) or field block
anesthesia with sedation (5-15%) as the primary anesthetic technique.
Hernia repair can be performed under spinal, epidural, general and inguinal field block
. Field block
for inguinal hernia repair is the most cost-effective anaesthetic technique for out patients undergoing unilateral inguinal herniorrhaphy with respect to speed of recovery, patient comfort and associated incremental costs.
Looking ahead, EXPAREL continues to be well positioned for long-term market leadership as the only opioid-free, long-acting, local and regional analgesic approved for infiltration, field blocks
and interscalene brachial plexus nerve block.
It has also agreed a three-month option for Equinor to farm in 50 per cent to its Buchan oil field blocks