Introduction Tonsillectomy is one of the most commonly performed surgical procedures worldwide, with major drawback significant post operative pain.There no consensus regarding topical application or local infiltration anesthetics operatively to reduce pain. The present study was evaluate effect bupivacaine in tonsillar fossae after tonsillectomy. Materials and Methods A double-blinded clinical...

Background: Our previous standardized postoperative pain management plan for AIS patients undergoing PSF included the placement of an epidural (EPI) catheter by spine surgeon prior to fascial closure. The was used 24 hours, in conjunction with a multi-modal post-operative protocol. Local Problem: 2020 COVID-19 pandemic highlighted need our surgical and their families have private rooms/bathroom...

BACKGROUND Adequate analgesia and early rehabilitation is necessary for arthroscopic anterior cruciate ligament reconstruction (A CLR) surgery. OBJECTIVE To compare analgesia and quadriceps strength after femoral nerve block (FNB) with intra-articular infiltration (IA) using 0.25% bupivacaine for ACLR with patella tendon graft. MATERIAL AND METHOD Forty patients were randomized to receive F...

BACKGROUND AND OBJECTIVE A substantial number of patients report pain after graft harvest from the anterior iliac crest. This study examined the efficacy of local application of bupivacaine soaked in a Gelfoam(®) at the bone donor site in controlling postoperative pain and parenteral opioid use. METHOD We performed a prospective, double-blind, randomized, placebo-controlled study comparing in...

To the Editor:—We read with interest the investigation by Dr. Wan et al. of postoperative impairment of cognitive function in rats. We would like to ask whether the investigators believe there was an adequate control group with which to compare the results of their surgical intervention. In addition to the neuroleptic analgesia group alone, it may have been advantageous to include a sham surgic...

To the Editor:—We read with interest the investigation by Dr. Wan et al. of postoperative impairment of cognitive function in rats. We would like to ask whether the investigators believe there was an adequate control group with which to compare the results of their surgical intervention. In addition to the neuroleptic analgesia group alone, it may have been advantageous to include a sham surgic...

Plasma catecholamine concentrations have been measured in nine patients undergoing rhinoplasty following infiltration to the facial area of 21 ml of 0.5% lignocaine with adrenaline 1:200,000 and in seven patients undergoing brachial plexus blockade with 40 ml of 0.5% lignocaine, 0.25% bupivacaine and adrenaline 1:200,000. In the rhinoplasty group there was a 566% increase in plasma adrenaline c...

OBJECTIVE To evaluate the use of infiltration of periarticular analgesic agents intraoperatively in total knee arthroplasty (TKA), with regard to benefits, reduction of pain, opioid consumption, improvement of range of motion and early ambulation. METHODS To analyze the benefits of periarticular drug infiltration, the patients submitted to TKA were evaluated, being separated into two groups. ...