The concept of integrating pain management into the surgical process as a single entity is new and exciting. The use of local anaesthetic to block post-operative pain at the site of its generation is here refined into a management program allowing early mobilisation and dramatic pain control in the early post-operative period. This multimodal technique is demonstrated here with application to lower limb arthroplasty and spinal surgery. This is not only a detailed explanation and instruction in the technique and concept, but a historical perspective on its development, and will be of great interest to all orthopaedic surgeons as well as anaesthetists.

Using easy-to-understand terminology, this text covers:



LIA methods
Pre- and postoperative management
How to select a needle injection location
The benefits of combining the LIA technique with the drugs Naropin, Marcain, and Xylocaine

Color images throughout the text highlight the advantages of LIA, including:



avoidance of sedation
simple execution for physicians
reduced risk of infection and blood clots
little physiological disturbance
earlier patient discharge and return to the workforce
improved patient performance, outlook, and mobility
fewer medical expenses