PURPOSE OF REVIEW Wound infiltration analgesia using local anaesthetics has been used for several decades. Recently, newer techniques to prolong analgesia have developed, including the use of catheters and injection of local anaesthetics or other adjuvants, and local infiltration analgesia using large volumes of local anaesthetics injected into different tissue planes. The aim of this review is...

BACKGROUND Cyclooxygenase-2 inhibitors may play an important role in multimodal management of pain after orthopedic surgery. We examined the analgesic efficacy of administering celecoxib as a component of a multimodal analgesic regimen for outpatient anterior cruciate ligament (ACL) surgery. METHODS Two-hundred consecutive patients were randomized to receive acetaminophen 1000 mg and either c...

BACKGROUND The use of NBs as a mode of analgesia for #NOF in the ED is not common practice despite the reported clinical benefits of quicker onset of pain relief, decreased use of additional analgesia and decreased amounts of analgesia required when more than one mode of analgesia is prescribed. AIM This study aims to test the hypothesis that the implementation of educational and awareness st...

STUDY DESIGN Retrospective analysis of a prospectively maintained surgical registry. OBJECTIVE To compare postoperative narcotic consumption between multimodal analgesia (MMA) and patient-controlled analgesia (PCA) after an anterior cervical discectomy and fusion (ACDF). SUMMARY OF BACKGROUND DATA Studies suggest that a multimodal approach to pain management leads to decreased pain and morp...

Pain from surgical procedures occurs as a consequence of tissue trauma and may result in physical, cognitive, and emotional discomfort. Almost a century ago, researchers first described a possible relationship between intraoperative tissue damage and an intensification of acute pain and long-term postoperative pain, now referred to as central sensitization. Nociceptor activation is mediated by ...

Introduction: Patient-controlled analgesia (PCA) with intravenous opioids is a more efficient method to achieve better postoperative analgesia. This study aims describe the use of patient-control in post-hysterectomy patients.
 Case presentation: There were two total hysterectomy patients who used PCA as pain management. Postoperatively, first patient has given paracetamol tablets 500 mg e...

Successful ambulatory surgery is dependent on analgesia that is effective, has minimal adverse effects, and can be safely managed by the patient at home after discharge. A number of studies have identified that the provision of effective postoperative analgesia is inadequate for a significant proportion of patients. The following discussion details the current available analgesic options for am...

The majority of patients who have undergone surgery experience moderate-to-severe postoperative pain. Asian tend to under-report pain and are consequently under-treated. Poor management increases the risk morbidity, prolonged opioid use, lower quality life outcomes chronic post-surgical Multimodal analgesia is cornerstone management. Non-steroidal anti-inflammatory drugs considered a core compo...

BACKGROUND To evaluate if an opiate sparing multimodal regimen of dexamethasone, gabapentin, ibuprofen and paracetamol had better analgesic effect, less side effects and was safe compared to a traditional morphine and paracetamol regimen after cardiac surgery. METHODS Open-label, prospective randomized controlled trial. 180 patients undergoing cardiac procedures through median sternotomy, wer...

BACKGROUND We studied the efficacy of local infiltration analgesia in surgical wounds with 0.2% ropivacaine (50 mL), ketorolac (15 mg), and adrenaline (0.5 mg) compared with that of local infiltration analgesia combined with continuous infusion of 0.2% ropivacaine as a method of pain control after total hip arthroplasty. We hypothesized that as a component of multimodal analgesia, local infiltr...