Introduction. Pain is the commonest morbidity after open surgical procedures. The most effective treatment of postoperative pain is opioid therapy. Morphine, the commonly used opioid, is associated with many side effects including respiratory depression, sedation, postoperative nausea vomiting, and pruritus. Nalbuphine, on the other hand, is known to cause less respiratory depression. Thus this...

Spine surgery remains one of the most common procedures for patients with a wide variety of spine disorders. Postoperative pain after major spine surgery is moderate to severe. We retrospectively reviewed 245 medical records of adult patients undergoing major spine surgery who received either patient-controlled epidural analgesia based on local anesthetics and opioids or patient-controlled intr...

BACKGROUND Intrathecal (IT) morphine provides prolonged analgesia after major surgery. AIM The aim of our study was to assess the impact of intrathecal morphine 200 µg on patient-controlled analgesia (PCA) tramadol consumptions and postoperative pain in patients who underwent radical retropubic prostatectomy (RRP) under general anesthesia. MATERIALS AND METHODS In this prospective trial, 56...

BACKGROUND Postoperative pain is often severe after hallux valgus repair. Sciatic nerve blocks with long-acting local anesthetics have been recommended for surgical anesthesia and postoperative analgesia. However, a novel percutaneous approach may require less analgesia and make the procedure suitable for ambulatory care. We thus tested the hypothesis that mid-foot block and sciatic nerve block...

OBJECTIVE To quantify benefit and harm of epidural analgesia, compared with systemic opioid analgesia, in adults having surgery under general anesthesia. BACKGROUND It remains controversial whether adding epidural analgesia to general anesthesia decreases postoperative morbidity and mortality. METHODS We searched CENTRAL, EMBASE, PubMed, CINAHL, and BIOSIS till July 2012. We included random...

OBJECTIVES To evaluate the effects of transcutaneous electric nerve stimulation (TENS) on pain and pulmonary function during the postoperative period after thoracic surgery by performing a systematic review and meta-analysis of randomized trials. METHODS The search strategy included MEDLINE, PEDro, Cochrane CENTRAL, EMBASE and LILACS, besides a manual search, from inception to August, 2011. R...

abstract introduction: due to the increasing number of breast masses and a more precise attention to them, a greater number of patients refer to clinics for biopsy or resection of breast and axillary lymph nodes. an appropriate anesthesia method can decrease hospitalization time, its expenditure and postoperative complications. paravertebral anesthesia [1] is a simple and feasible method in mos...

1* Associate Professor , 2 Associate Professor Department of Anesthesiology, Government Siddhartha Medical College, Vijayawada *Corresponding Author Dr Abhimanyu Singh Associate Professor, Department of Anesthesiology, Government Siddhartha Medical College, Vijayawada, Email: [email protected] ABSTRACT Background: Postoperative pain is acute with complex physiological responses to tissue inj...

BACKGROUND Effective analgesia is essential for the postoperative care of orthopedic patients. OBJECTIVES To evaluate the efficacy of continuous fascia iliaca compartment block (FIB) as postoperative analgesia after hip fracture surgery, and to compare FIB with patient-controlled intravenous analgesia (PCIA) using fentanyl for 48 h postoperatively. METHODS Patients with hip fractures who we...

BACKGROUND The efficacy of epidural anesthesia and analgesia in management of perioperative stress has been established. Perioperative pain management strategies decrease surgical complications and aid recovery. In this study, we aimed to document and compare the efficacy of epidural bupivacaine and intravenous meperidine on recovery of patients with elective abdominal aortic surgery performed ...