women. The ideal labour analgesia technique should dramatically reduce the pain of labour, while allowing the parturient to actively participate in the birthing experience. In addition, it should have minimal effect on the fetus or the progress of labour. New labour analgesia techniques approach this goal. This lecture will review these new methods of pain relief for the parturient and will hig...

BACKGROUND Paravertebral analgesia is useful for breast surgery. Patient controlled analgesia by IV or epidural routes is well established for delivering postoperative analgesia. Our objective was to apply patient control to paravertebral analgesia and evaluate the efficacy and tolerability of two distinct dosing regimens. METHODS Patients undergoing major breast cancer surgery were recruited...

Advances in pain management have occurred in recent years through the development of patient-controlled and epidural analgesia, while the conventional regime of intramuscular analgesia has also continued to be used. This article describes a study comparing orthopaedic patients' experiences of postoperative pain using the three methods of analgesia.

This study aimed to evaluate whether combined oral oxycodone hydrochloride-controlled release tablets plus paracetamol and tramadol hydrochloride tablets are more effective than epidural analgesia for postoperative pain control and side effects after cesarean section. We randomly enrolled 60 patients scheduled for cesarean section into either: patient-controlled epidural analgesia with 0.1% rop...

Researchers investigated the effectiveness of patient controlled analgesia for patients presenting to emergency departments with pain from traumatic injuries. A randomised controlled trial with a parallel groups study design was used. The control treatment was usual care, with analgesia titrated by nurses according to hospital guidelines. The participants were patients aged 18-75 years presenti...

SUMMARY To improve postoperative pain management, several concepts have been developed, including preemptive analgesia, preventive analgesia, and multimodal analgesia. This article will discuss the role of these concepts in improving perioperative pain management. Preemptive analgesia refers to the administration of an analgesic treatment before the surgical insult or tissue injury. Several ran...

PURPOSE Epidural analgesia has been the preferred analgesic technique after major abdominal surgery. On the other hand, the combined use of intrathecal morphine (ITM) and intravenous patient controlled analgesia (IVPCA) has been shown to be a viable alternative approach for analgesia. We hypothesized that ITM combined with IVPCA is as effective as patient controlled thoracic epidural analgesia ...

BACKGROUND Despite substantial improvements in surgical and anesthesiological practices leading to decreased mortality of less than 5 % at high-volume centers, pancreatic surgery is still associated with high morbidity rates of up to 50 %. Attention is increasingly directed toward the optimization of perioperative management to reduce complications and enhance postoperative recovery. Currently,...

 Introduction: The aim of this study is to compare the efficacy of epidural versus entonox methods for labor analgesia in nulliparous women.  Methods: This randomized controlled trial was performed on 84 nulliparous women with - pregnancy admitted to Imam Reza Hospital in 10 May 2010- 10 May 2011.  They were randomly divided into two groups 42 women inhaled entonox in active phase at the ...