Local Infiltration Analgesia: A Technique to Improve Outcomes after Hip, Knee or Lumbar Spine Surgery

Local infiltration analgesiaBy

  • Dennis Kerr MBBS, MHA, FANZCA, FFICANCA, DipABA, FHKCA, FHKAM, Joint Orthopaedic Centre Bondi Junction, New South Wales Australia

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


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