Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jun 2011
Review[Continuous infusion of local anesthetic at the site of the abdominal surgical wound for postoperative analgesia: a systematic review].
We present a systematic review of clinical trials to evaluate the efficacy of infusing local anesthetic through a catheter placed in the abdominal surgical wound. ⋯ Surgical wound analgesia is a safe technique whose effectiveness has been observed in cesarean sections and hysterectomies performed with Pfannenstiel incisions. Outcomes for other types of surgery are inconsistent. There is a lack of studies of the optimal site for catheter placement as well as of adequate anesthetic concentration and volume.