BACKGROUND AND AIMS Various additives have been evaluated for the purpose of enhancing quality of analgesia and prolonging duration of spinal anesthesia. This randomized, double-blind study was conducted to evaluate the efficacy of intravenous dexamethasone in spinal anesthesia. METHODS A total of sixty patients scheduled for lower segment cesarean section under spinal anesthesia were randoml...

Background: Various additives have been evaluated for the purpose of enhancing quality analgesia and prolonging duration spinal anesthesia. Aims Objectives: This randomized study was conducted to evaluate efficacy intravenous dexamethasone in Materials Methods: A total 100 patients scheduled lower segment cesarean section under anesthesia were randomly allocated into two groups, Group-1 Group-2...

Objective: To evaluate and compare the characteristics of spinal block, its postoperative analgesic effects, using intrathecal inj. Bupivacaine 0.5% and its combination with nalbuphine or buprenorphine in patients undergoing lower abdominal surgery. Methods: Sixty patients aged 30-60years scheduled for elective lower abdominal surgeries randomly received hyperbaric bupivacaine 0.5% 2.6 ml (grou...

Introduction Among the different anesthetic techniques used to attend hernioplasty current evidence supports the use of local anesthesia by infiltration because it determines a shorter post-operative recovery, fewer complications and lower overall costs 1,. However, despite these advantages the local anesthesia by infiltration is rarely used 2. In order to improve intraoperative analgesia ilioi...

The study aimed to determine the occurrence of urinary retention in patients using opioid analgesic and to describe the method used for vesical relief. A prospective and consecutive series of 1,316 patients undergoing surgery from September 1999 to April 2003 and using opioids post surgery were studied. From the 1,136 patients, 594 did not use urinary catheters pre-surgery. From these 594 patie...

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...

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...

Achieving adequate analgesia after total knee arthroplasty (TKA) can be a challenging; femoral nerve block (FNB) has been investigated and found to improve pain control following TKA. mixing local anaesthetic with adjuvant drugs improve the quality of analgesia from peripheral nerve blocks. We hypothesed that; adding dexamesathone to bupivacaine for continuous femoral nerve block provides bette...

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...

Abstract Aims Post-operative pain is a common yet challenging presentation. Although an expected part of the acute recovery phase, uncontrolled associated with poorer patient experience, delayed functional and increased morbidity. Up to 40% patients report severe that negatively impacts on their post-operative recovery. We aimed determine whether complications length hospital admission were cho...