it has been sugeested since long that peripheral nerves possess opiod receptors and this has tempted clinicans in adding narcotics to local anesthetics to prolong the analgesic effects of these solutions. in this regard, we studied 45 patients undergoing surgical procedures on upper extremities. the patients scheduled for surgery were divided in to three groups, each comprising of 15 patients a...

Intraperitoneal administration of analgesia: is this practice of any utility? Local anaesthetic techniques are part of the multimodal approach to postoperative pain management. 1 This involves the use of opioids, non-steroidal anti-in¯ammatory drugs (NSAIDs) 2 , paracetamol 3 and local anaesthetics. 4 The purpose of this editorial is to review whether or not instillation of local anaesthetics i...

The addition of opioids to local anesthetics improves the analgesic potency of spinal analgesia. The purpose of this study was to evaluate the efficacy and safety of intrathecal fentanyl 15 microg when added to lidocaine 80 mg in patients undergoing Cesarean section under spinal anesthesia. Forty healthy parturients scheduled for elective Cesarean section using 80 mg of 5% lidocaine were random...

BACKGROUND AND AIMS Regional analgesia is commonly used for the relief of labour pain, Prolongation of analgesia can be achieved by adjuvant medications. The aim of this randomised controlled trial was to evaluate the efficacy of intrathecal levobupivacaine with dexamethasone for labour analgesia. METHODS A total of 80 females were included in this study, all were primigravidas undergoing vag...

OBJECTIVE To examine the status of obstetric epidural analgesia services in Hong Kong public hospitals in 2001, and to compare findings with those from a similar survey conducted in 1995. DESIGN Postal questionnaire survey. SETTING Hospital Authority hospitals in Hong Kong offering an obstetric and delivery service. PARTICIPANTS Chiefs of Service of departments of anaesthesia and coordina...

conclusions the addition of 2.5-3 mcg sufentanil to 15 mg 0.05% bupivacaine maintained the patient’s hemodynamic stability similar to fentanyl. intrathecal sufentanil added to bupivacaine,when compared with fentanyl, may lead to prolonged duration of analgesia, facilitate the spread of the sensory block, increase mean spo2 levels, and reduce overall side effects. background the addition of intr...

BACKGROUND This meta-analysis aimed to evaluate the efficiency and safety of the combined adductor canal block with peri-articular infiltration versus periarticular infiltration alone for pain control after total knee arthroplasty (TKA). METHODS PubMed, Medline, Embase, Web of Science, and the Cochrane Library were searched to identify articles comparing the combined adductor canal block with...

This survey addresses the structure and function of the acute pain services (APS) in the UK 10 years after its initial commencement. APS is now available in many hospitals (89.4%). The APS team consists mainly of anaesthetists, occasionally includes nurses and pharmacists, and rarely physiotherapists and psychologists. Anaesthetists, mainly, cover the out-of-hours service and nurses only occasi...

This review summarizes the added value of local anesthetics in patients undergoing craniotomy for brain tumor resection, which is a procedure that is carried out frequently in neurosurgical practice. The procedure can be carried out under general anesthesia, sedation with local anesthesia or under local anesthesia only. Literature shows a large variation in the postoperative pain intensity rang...