Almost one thousand patients underwent either total hip replacement or spinal surgery in which diamorphine 0.5-1.0 mg was injected intrathecally. Approximately one half of the arthroplasty patients and one third of the spinal patients required no other post-operative analgesia. In the remainder, analgesics were not required for 12 hours post-operatively. The benefits of the technique and possib...

Introduction: Tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. Methods of pain control such as use of non-steroidal anti-inflammatory drugs (NSAIDs), narcotics, and local anesthetics have been used, but each have their own particular side effects. In this study we investigated the effect of ketamine on post...

BACKGROUND In this randomized, double-blinded study, we investigated the preemptive effects of propofol, remifentanil or ketamine on post-operative pain scores and analgesic requirements in elective lower abdominal surgeries under general anesthesia during the first 24 h of post-operative period. MATERIALS AND METHODS Seventy five patients, American Society of Anesthesiologists physical statu...

Single dose caudal epidural anesthesia is a commonly performed regional technique in paediatric anesthesia. It supplements general anesthesia during surgery and provides analgesia in the post operative period for lower abdominal surgeries not exceeding 45 minutes. Aims and Objectives: A comparative prospective interventional study was conducted to assess the duration, efficacy and safety of two...

It has been suggested that there may be some advantage in pre-emptive administration of analgesics, which may be of some relevance in day-surgery. Post-operative pain control is often difficult due to the reluctance to use potent analgesics, whose side effects include nausea and vomiting, which are an important cause of delayed discharge. In order to test the potential beneficial effects of pre...

Background Pain, although invariably present after surgical procedures, is not always well controlled. Medications from different analgesic groups are often used to control post-operative pain. Recently, attention has turned towards the optimization of non-opioid analgesics including NSAIDS and acetaminophen. After gynaecologic laparoscopy up to 80% of patients may require opioid analgesia. How...

introduction: tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. methods of pain control such as use of non-steroidal anti-inflammatory drugs (nsaids), narcotics, and local anesthetics have been used, but each have their own particular side effects. in this study we investigated the effect of ketamine on post...

objective(s)the purpose of this study holds, for the first time, an evaluation of the intraperitoneal curcumin lavage on the development of post-operative intra-abdominal adhesions.materials and methodsthirty male wistar rats were randomized into five groups. the rats were administered anesthesia and underwent surgery in order to create intra-abdominal adhesions. before the abdomen was closed, ...

Opinions diverge as to whether or not regional anaesthesia delays the diagnosis of evolving acute compartment syndrome. Withholding regional anaesthesia from patients with painful orthopaedic injuries may be ethically unacceptable, however. In this report, we describe a case of acute compartment syndrome in a 4-year old child who underwent resection of a forearm osteochondroma. Analgesia was sa...

Objective: To determine the efficacy of post-operative pain control over the first 24 hours in patients undergoing unilateral total knee arthroplasty (TKA) using a multi-modal analgesia protocol including femoral nerve catheters (FNC). Materials and Methods: 119 patients who underwent unilateral TKA between 2009 and 2010 under regional anesthesia with FNC were studied. Electronic charts were re...