BACKGROUND Chemotherapy has been associated with hyperalgesia. This prospective study was designed to investigate the effect of intraperitoneal chemotherapy with lobaplatin on post-operative pain intensity and sufentanil requirements after laparoscopic transabdominal resection of rectal cancer. METHODS Eighty subjects (40 subjects treated with intraperitoneal chemotherapy and 40 subjects with...

Background Tonsillectomy with or without adenoidectomy is a common surgical procedure in children. Severe postoperative pain has been reported in 5 to 20% of children undergoing this operation. Hemorrhage due to posttonsillectomy pain is among the main causes of postsurgical morbidity. This study reviewed the available literature in this regard to determine the efficacy of various doses of keta...

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 Scoliosis repair is a major orthopaedic surgery associated with severe post-operative pain. Ketamine and magnesium have an established efficacy as morphine-sparing agents. Our purpose was to evaluate the morphine-sparing effect of both magnesium and ketamine given simultaneously compared with ketamine alone during scoliosis surgery. METHODS Fifty patients scheduled for posterior in...

Background: Pain is an unpleasant subjective sensation which can only be experienced and not expressed, especially in children. The primary reason to treat or prevent pain is humanitarian. Aim and objectives: To assess Ultrasound Guided Ilioinguinal / Iliohypogastric nerve block versus Caudal block for post-operative analgesia in children undergoing unilateral groin surgery in ASA grade I and I...

Epidural catheterization is routinely used by anaesthesiologists to provide labour and post-operative analgesia. In most cases, catheter placement is without serious side effects and uneventful. However, epidural abscess is a rare complication that may result in severe morbidity. We present a case of epidural abscess after labour epidural catheter placement in a healthy 36-year-old female who p...

BACKGROUND Intrathecal morphine is commonly used for post caesarean analgesia. However, their use is frequently associated with the incidence of troublesome side effects such as nausea, vomiting and pruritus. Various mechanisms have been postulated for the opioid-induced pruritus, with a variety of medications with different mechanisms of actions formulated for the prevention and treatment. But...

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...

Patients undergoing pneumonectomy can suffer by cardiovascular and respiratory postoperative complications that can affect patient's outcome by increasing morbidity and mortality. We describe a diaphragmatic hernia occurring after pneumonectomy. with late presentation and with epidural analgesia confusing the scenario suggesting that anesthesiologists should remain aware on this complication ev...

Background and aims: TAP block is an effective way to provide postoperative analgesia .TAP using ropivacaine alone has not been consistently proven be in alleviating pain after laparoscopic surgeries. The study aimed compare the combination of dexmedetomidine for laparascopic cholecystectomy patients post operative analgesia. Materials Methods: 60 ASA health status I or II, were divided equally...