I always hear patients complain that they were operated without anesthesia for furuncles, abscesses and pus forming wounds. The common concept of surgeons is that pus or the presence of infection-abscess will prevent anesthesia to diminish pain. But I had a different experience. All of my patients had local anesthesia infiltrated around the pus formation or infected wound and I was able to debride or do incision and drainage on them without pain. Of course, The surgeon should never inject the anesthesia on the abscess itself since the milieu in this area is acidic and local anesthesia like lidocaine would never do its job. Inject it around the affected area where the boundary of normal skin and cellulitis is. The patient has borne so much pain already having those boils. A little less of it is heaven for them.
No comments:
Post a Comment