INTRODUCTION The majority of women having planned cesarean section receive spinal anesthesia for the procedure. Typically, spinal opioids are administered during the same time as a component of multimodal analgesia to provide pain relief in the 16-24h period postoperatively. The quadratus lumborum block is a regional analgesic technique that blocks T5-L1 nerve branches and has an evolving role ...

Aim: The study was undertaken to compare the clinical efficacy of lumbosacral spinal analgesia produced using bupivacaine, xylazine and buprenorphine with ketamine combination in buffalo calves Materials and Methods: 36 male buffalo calves of seven to eight months of age and weighing 60 to 75 kg were used to evaluate the efficacy and safety of lumbosacral spinal analgesia produced by bupivacain...

aim and background:   stress of surgery transfers some neurological and hormonal signals which triggers some physiological responses like adrenergic stimulation, increase in noradrenalin, cortisol, growth factor, decrease in insulin and increase in insulin resistance resulting in hyperglycemia during surgery. in this study a comparison is done between general anesthesia which by blocking brain&...

Aims: Spinal analgesia is the most common method that provides pain relief during labor and controversy exists about its effect on the maternal and fetal among the women. This study was conducted to determine the effect of intrathecal analgesia (ITA) on perineal laceration, duration of the first, second, and third stage of labor, and Apgar score. Materials & Methods: Fifty primipara parturien...

Abstract Background Intrathecal opioids administration is an attractive analgesic technique since the injected directly into cerebrospinal fluid providing safe and effective postoperative analgesia for up to 24 hours. The most common adverse effects after intrathecal morphine are nausea, vomiting pruritus. We evaluated effect of atropine on prevention nausea in patients receiving hyperbaric bup...

Major spinal surgery is associated with severe postoperative pain and stress response, bowel dysfunction, and a potential for chronic pain development. Epidural analgesia has been shown to be advantageous compared to intravenous analgesia alone. The aim of the study was to investigate whether postoperative addition of epidural levobupivacaine to intravenous opioid analgesia offers advantage ove...

Spinal anesthesia for knee arthroscopy is a well-documented and safe procedure. However, some complications and higher costs have been reported. Also, many orthopaedic surgeons are reluctant to use local anesthesia for fear of having to convert to general anesthesia due to inadequate pain control. The purpose of this study is to compare local with spinal anesthesia in two groups of patients sub...

Background and Aims: Different kinds of adjutants are used with local anesthetics during intrathecal procedure for prolongation of action. However, they are not completely free from side effects like postoperative hypoxia and cardiovascular instability. But subsequently, the use of preoperative femoral nerve block on surgical side provides beneficial analgesia to relieve fracture pain before op...

N early 20 years have passed since the earliest reports appeared regarding the feasibility and effectiveness of thoracic epidural analgesia (TEA) in infants and children (1,2). TEA has gained tremendous popularity and is now routinely practiced by many anesthesiologists around the world (3–8). Nevertheless, studies comparing the benefits of epidural analgesia with conventional systemic analgesi...

The most commonly used technique for lower limb surgeries is Spinal anesthesia, as it economical, easy, effective and has less complications. Adjuvants are added with local anaesthetics intrathecally. Opioids adjuvants to improves the quality of intraoperative analgesia prolongs postoperative analgesia. To observe compare effect intrathecal bupivacaine fentanyl butorphanol on onset duration sen...