Trevissón Redondo Bibiana, Lago García Nathael, García Fernández Rubén, Pereiro Buceta Hector, Painceira Villar Roi, Gonzalez Garcia Alberto, Bermejo Martínez David, Calvo Ayudo Natalia, Quiroga-Sánchez Enedina
SALBIS Research Group, Faculty of Health Sciences, Department of Nursing and Physiotherapy, Campus de Ponferrada, Universidad de León, 24401 León, Spain.
PhD School, Universidad de León, 24401 León, Spain.
Medicina (Kaunas). 2025 Mar 25;61(4):588. doi: 10.3390/medicina61040588.
Local anesthesia is essential in podiatry, ensuring painless procedures. Technological and pharmacological advances require us to stay updated on the safest and most effective techniques. Lidocaine and bupivacaine are common anesthetics in this field, with the choice of technique tailored to each procedure. To evaluate the effectiveness and safety of local anesthesia techniques in reducing pain in podiatric procedures. : A systematic review followed PRISMA guidelines, searching for studies in PubMed, Scopus, and Web of Science published in the last 10 years in English and Spanish. Studies focused on local anesthesia in podiatry were included, excluding those unrelated or without validated results. Of 485 initial studies, nine were selected that met all criteria. These studies demonstrated the efficacy and safety of various local anesthesia techniques, such as WALANT and ultrasound-guided peripheral nerve blocks, highlighting their effectiveness in pain control and patient satisfaction. Local anesthesia techniques are effective in reducing pain in podiatric procedures. The safety of these techniques is high, with few serious complications. Local anesthesia without a tourniquet and specific techniques, such as subparaneural injection, are effective for pain control. Individual patient factors and surgeon experience influence results.
局部麻醉在足病诊疗中至关重要，可确保手术过程无痛。技术和药理学的进步要求我们不断了解最安全、最有效的技术。利多卡因和布比卡因是该领域常用的麻醉剂，麻醉技术的选择需根据每个手术进行定制。为评估局部麻醉技术在减轻足病手术疼痛方面的有效性和安全性：一项系统评价遵循PRISMA指南，在PubMed、Scopus和Web of Science中搜索过去10年以英文和西班牙文发表的研究。纳入专注于足病诊疗中局部麻醉的研究，排除无关或无有效结果的研究。在485项初步研究中，选出9项符合所有标准的研究。这些研究证明了各种局部麻醉技术的有效性和安全性，如清醒局部麻醉下无止血带手术（WALANT）和超声引导下周围神经阻滞，突出了它们在疼痛控制和患者满意度方面的有效性。局部麻醉技术在减轻足病手术疼痛方面有效。这些技术的安全性高，严重并发症少。不使用止血带的局部麻醉和特定技术，如神经旁注射，对疼痛控制有效。个体患者因素和外科医生经验会影响结果。
