TO the Editor-I read with interest the study by Boylan et al.' comparing epidural bupivacaine-morphine analgesia with patient-controlled analgesia after abdominal aortic surgery. However, I have a major concern. After a loading dose of 1 0 ml of 2% lidocaine followed by 15 ml of 0.25%) bupivacaine via a lumbar epidural catheter, sensory block in the epidural group was probably at an adequate th...

Day surgery is expanding as a specialty, with a drive to perform an increasing number of procedures as day case. Economic benefits, patient preference and modern minimally invasive surgical techniques are responsible for this. Effective, long-lasting postoperative analgesia and stringent discharge criteria are essential in order to run a successful day-surgery facility. A multi-modal approach t...

BACKGROUND AND OBJECTIVES Postoperative analgesia is a wish of all surgical patients and has been used by most anesthesiologists. In addition to opioids, local anesthetic agents have been employed for peripheral and central blocks. The purpose of this study was to evaluate and to compare intercostal and interpleural blocks for post-cholecystectomy analgesia. METHODS Sixty patients undergoing ...

Background: Advancement in labour analgesia includes newer local anaesthetics with more selective sensory blockade which permit ambulation of parturient, various technological improvement and newer adjutant which facilitate reduced requirement of local anaesthetics and hence side effect. Objective: The objective of this study was to evaluate the efficacy butorphenol 0.5mg and fentanyl 25 mcg mi...

Background: Local analgesia technique has important advantages to manage postoperative pain; however, the duration of pain relief is relatively short due to the pharmacological characteristic of local anesthetics. Hence, in the current study, we planned to explore the hypothesis that adding dexmedetomidine to levobupivacaine in transversus abdominis plane (TAP) block prolongs the duration of an...

Intra-articular morphine has been shown to provide prolonged analgesia after arthroscopic knee surgery; the addition of local anaesthetic agents has been reported to improve this analgesic effect. Pethidine possesses local anaesthetic properties, and therefore this study was designed to evaluate its analgesic efficacy after arthroscopic meniscectomy. Sixty patients were allocated randomly to re...

Obstetric analgesia and anesthesia should provide optimal pain relief for the parturient with minimal risks. The local anesthetic agents are most commonly used for obstetric analgesia and anesthesia. We investigated the effect of local anesthetic agents: prilocaine, bupivacaine, ultracaine on myometrium in pregnant rats. In our study, we evaluated the effects of three local anesthetics at cumul...

Knee arthroscopy is one of the most common orthopedic procedures done in the United States. It usually is performed as an outpatient procedure. This retrospective study was designed to assess the level of postoperative analgesia provided by the local knee block. According to the anesthesia technique received, 59 patients were categorized in group 1 (general anesthesia) or group 2 (general or mo...