background: the effect of ilioinguinal and iliohypogastric (ii-ih) nerve block on postoperative pain is well documented when performed before caesarean section (cs) but the efficacy remains unclear when performed after the surgical procedure. the aim of this study is to investigate the effect of ii-ih nerve block on postoperative pain and analgesic consumption in patients when performed after c...

Cesarean section (CS) is one of the most common surgical procedures in female patients. We aimed to evaluate the postoperative analgesic efficacy of intrathecal fentanyl during the period of greatest postoperative analgesic demand after CS. This period was defined by detailed analysis of patient-controlled analgesia (PCA) usage.This double-blind, placebo-controlled, parallel-group randomized tr...

Background and Objectives: Melatonin and Ketorolac delay and minimize intraoperative tourniquet pain when used as premedication to lidocaine-based intravenous regional anesthesia (IVRA). It is unclear if Melatonin is more efficacious compared with Ketorolac. This study compared intraoperative tourniquet pain, postoperative analgesia, and side effects of using Melatonin vs. Ketorolac during outp...

Objective: Nerve blocks for postoperative analgesia have increased significantly lately. Beside the use of adjuvants plus local anesthetics in nerve block in order to extend the analgesia time. Materials and Methods: Sixty elderly patients, ASA grades II and III scheduled for surgery after hip fracture under intrathecal anesthesia with pre-operative FICB, The patients were blindly randomly allo...

STUDY DESIGN This was a prospective, randomized, controlled trial comprising 60 patients undergoing lumbosacral spine (noninstrumentation/nonfusion) surgery. PURPOSE The purpose of this study was to evaluate the efficacy of 0.2% ropivacaine (20 mL) administered alone as a single, preoperative, caudal epidural block injection versus that of intravenous analgesics in providing effective postope...

BACKGROUND Nowadays, increasingly more preemptive analgesia studies focus on postoperative pain; however, the impact of preemptive analgesia on perioperative opioid requirement is not well defined. This study was carried out in order to evaluate whether preoperative intravenous flurbiprofen axetil can reduce perioperative opioid consumption and provide postoperative analgesia in patients underg...

Introduction: The study compared the effectiveness of opioids: butorphanol, fentanyl and nalbuphine as a part Total Intra Venous Anaesthesia (TIVA) using propofol an inducing agent in all three groups laparoscopic cholecystectomy view haemodynamic stability, analgesia recovery characteristics. Aims: To compare efficacy opioids viz. TIVA Haemodynamics variables, Material Methods: This randomised...

OBJECTIVES Intrathecal morphine is used in the postoperative management of pain after caesarean section (CS), but might not be optimal for intraoperative analgesia. We hypothesized that intrathecal fentanyl could supplement intraoperative analgesia when added to a local anesthetic and morphine without affecting management of postoperative pain. METHODS This prospective, randomized, double-bli...

BACKGROUND One of the most commonly used regional anesthetic techniques in pediatric surgeries is the caudal epidural block. Its main disadvantage remains the short duration of action. Hence, different additives have been used. Dexmedetomidine is a potent as well as highly selective α2 adrenergic receptor agonist. The aim of this randomized, double-blinded, study was to compare the duration of ...

BACKGROUND Spinal anesthesia is widely used for caesarean section due to its rapid onset, low failure rate, complete analgesia. Addition of intrathecal ketamine and opioids to local anaesthetics seems to improve the quality of block and prolong the duration of analgesia. OBJECTIVES The purpose of this study was to compare the effect of intrathecal ketamine mixed with hyperbaric bupivacaine to...