Purpose: Patients may control postoperative pain by self-administration of intravenous opioids   using devices designed for this purpose (patient controlled analgesia or PCA). This study set out   to determine whether any of the two opioid administrations (i.e. PCA or conventional analgesia)   would provide superior pain relief among patients undergoing laparoscopic cholecystectomy   or not. ...

introduction: several mehods have been proposed to alleviate pain after hysterectomy. pre-emptive analgesia has been used to relieve pain following abdominal hysterectomy with conflicting results. this study was performed to evaluate the efficacy of pre-incision skin infiltration of lidocaine in relieving postoperative pain in patients undergoing abdominal hysterectomy.  methods: 60 patients wi...

background many multimodal analgesia techniques have been tried to provide adequate analgesia for midline incisions extending above and below the umbilicus aiming at limiting the perioperative use of morphine thus limiting side effects. ultrasound (us) guidance made the anesthesiologist reconsider old techniques for wider clinical use. the rectus sheath block (rsb) is a useful technique under-u...

background:   various drugs are administered intra-articularly to provide postoperative analgesia after arthroscopic knee surgery. the purpose of this study was to assess the analgesic effects of intra-articular injection of a dexmedetomidine   following knee arthroscopy.     methods:   forty six patients schadualed for arthroscopic knee surgery under general anaesthesia, were randomly devided ...

conclusions this study revealed that prescribing gabapentin or tramadol, as premedication, was effective in reducing postoperative pain, without any concerning side-effects. results the three groups were similar regarding age and length of surgery (up to 2 hours). the average vas, in the placebo group, was higher than in the other two groups (p = 0.0001) and the average received doses of meperi...

conclusions this study demonstrated improved analgesic effects after using intravenous patient controlled analgesia with ketamine on postoperative pain in opium abusers. patients and methods after institutional review board approval for ethical considerations, a randomized double-blinded placebo controlled clinical trial was conducted. a total of 140 male patients aged 18-65 years, undergoing o...