Perioperative systemic lidocaine significantly reduces opioid requirements in the ambulatory setting without affecting time to discharge. Postoperative pain is the most common reason for delay in discharge and unplanned hospital admission after ambulatory surgery. 1–3 Because postoperative pain is to a large extent an inflammatory phenomenon, administration of systemic local anesthetics, which have inflammatory modulatory properties, 4 could significantly reduce pain and therefore allow more rapid discharge. 5 Lidocaine has an excellent safety record when administered by low-dose infusion. 5–7 However, whereas decreased hospital stay after inpatient surgery has been demonstrated, the effect of intraoperative and early postoperative lidocaine infusion on duration of stay after ambulatory surgery is not known. Although it see...
Dr Philippe Gautier is an anesthesiologist the Clinique Ste Anne - St Remi in Brussels, Belgium. He is clinical and research focus has been on regional anesthesia, ultrasound-guided nerve blocks, functional anatomy for regional anesthesia and disposition of the local anesthetics in tissue compartments. Dr Gautier is one of the most sought after educators in regional anesthesia internationally and has served as a president of Belgian Association of Regional Anesthesia (BARA). He has authors many scientific papers and textbook chapters. Beyond medicine, his main interests are art (particularly African art), music and photography.
Dr. Sebastian Schulz-Stübner is board certified in anesthesia, critical care and pain medicine and a certified hospital epidemiologist and infection control expert. He works at the German consulting center for hospital epidemiology and infection control (BZH) in Freiburg, Germany while still practicing critical care and pain medicine in various settings and teaching medical hypnosis in anesthesiology at Aachen University, Germany. He is an accomplished researcher in the field of regional anesthesia and pain medicine and has written several textbooks related to critical care, regional anesthesia and pain medicine and infection control. Dr. Schulz-Stübner is a member of the scientific program committee of NWAC since 2010 and solicited as lecturer worldwide. He serves as reviewer for several medical journals. In his spare time he writes short stories and novels and fosters young artists in his function as board member of the Schulz-Stübner-Foundation "Life with paintings".
John Wasnick, MD, MPH is professor and chair of the department of anesthesiology at Texas Tech University Health Sciences Center. Dr. Wasnick is a cardiac anesthesiologist, intensive care physician, and anesthesia educator. He is interested in health policy, anesthesia education, cardiac surgery outcomes, and perioperative echocardiography. In addition to his administrative duties, Dr. Wasnick maintains a busy cardiac anesthesia practice in West Texas and has authored or edited various books, chapters, and journal articles.
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