Current opinion in anaesthesiology
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To summarize recent developments in the study of perioperative handovers, when patients are transferred between various hospital locations (emergency room, ward, operating room, recovery room, intensive care unit) and handovers between care providers (doctors and nurses) when changing shifts. ⋯ There is now widespread consensus that robust, structured handover processes are critical for safe patient care. Checklists and software tools to facilitate the handover process may improve the reliability of handovers and relieve the stress on residents of handing over their patients to the incoming resident. However, there is no 'one size fits all' solution to the problems of handover. Handover improvements will need to be tailored to the specific care setting and handover type.
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Curr Opin Anaesthesiol · Dec 2010
ReviewWound infiltration with local anaesthetics in ambulatory surgery.
Wound infiltration analgesia using local anaesthetics has been used for several decades. Recently, newer techniques to prolong analgesia have developed, including the use of catheters and injection of local anaesthetics or other adjuvants, and local infiltration analgesia using large volumes of local anaesthetics injected into different tissue planes. The aim of this review is to present the current status of wound infiltration analgesia in management of postoperative pain and to highlight the risks of this technique in clinical practice. ⋯ Used correctly and in adequate doses, wound infiltration analgesia can be used in a multimodal analgesic regime without major complications. It offers the benefit of providing analgesia at a low cost when used as a single injection.