Background: Various additives have been evaluated for the purpose of enhancing quality analgesia and prolonging duration spinal anesthesia. Aims Objectives: This randomized study was conducted to evaluate efficacy intravenous dexamethasone in Materials Methods: A total 100 patients scheduled lower segment cesarean section under anesthesia were randomly allocated into two groups, Group-1 Group-2...

In a prospective randomized double blind clinical study, 120 patients of either sex in the age group of 25-65 years with ASA I and II, who were scheduled to undergo elective laparoscopic cholecystectomy were allocated to two groups of 60 patients each with regard to postoperative analgesia. In Group-I (n=60) the patients received Bupivacaine (0.5%) 20ml, instilled in gallbladder bed and the und...

Achieving adequate analgesia after total knee arthroplasty (TKA) can be a challenging; femoral nerve block (FNB) has been investigated and found to improve pain control following TKA. mixing local anaesthetic with adjuvant drugs improve the quality of analgesia from peripheral nerve blocks. We hypothesed that; adding dexamesathone to bupivacaine for continuous femoral nerve block provides bette...

Objective: To evaluate and compare the characteristics of spinal block, its postoperative analgesic effects, using intrathecal inj. Bupivacaine 0.5% and its combination with nalbuphine or buprenorphine in patients undergoing lower abdominal surgery. Methods: Sixty patients aged 30-60years scheduled for elective lower abdominal surgeries randomly received hyperbaric bupivacaine 0.5% 2.6 ml (grou...

BACKGROUND Retrospective studies have associated early epidural analgesia with cesarean delivery, but prospective studies do not demonstrate a causal relationship. This suggests that there are other variables associated with early epidural analgesia that increase the risk of cesarean delivery. This study was undertaken to determine the characteristics associated with early epidural analgesia in...

Abstract Aim To study the effectiveness of intraperitoneal instillation tramadol for postoperative laparoscopic cholecystectomy (LC) pain relief and improve incidence adverse effect. Methods Double blinded randomized controlled trial over 1 year. The Ethical Clearance was obtained from Institutional Ethics Committee. 60 patients scheduled LC were enrolled in study. Patients randomly assigned in...

Management of a patient with portal hypertension and hypersplenism who is scheduled for elective surgery is a challenge for anesthesia providers. We report a case that was scheduled for elective surgery in which preoperative splenic artery embolization improved the hematologic parameters. A 32-year-old woman was scheduled for total abdominal hysterectomy for multiple fibroids and menorrhagia wi...

BACKGROUND A pain-free postoperative period is essential following a caesarean section so new mothers may care for and bond with their neonates. Intrathecal adjuvants are often administered during this procedure to provide significant analgesia, but they may also have bothersome side effects. Intrathecal midazolam produces effective postoperative analgesia with no significant side effects. OB...

BACKGROUND Intravenous fentanyl has been used for acute postoperative pain management, but has not always provided reliable adequate analgesia, including patient-controlled analgesia (PCA). The purpose of this study was to investigate the efficacy of time-scheduled decremental infusion of fentanyl for postoperative analgesia. METHODS Ninety-nine patients, aged 20-65 years, undergoing laparosc...

Epicutaneous application of the anaesthetic cream Emla (lignocaine and prilocaine), to induce percutaneous anaesthesia in 38 patients scheduled for eyelid skin surgery is presented. The cream was applied 60 to 90 minutes before operation. In 36 out of the 38 patients (94.8%) no supplementary analgesia was required. The pain during the procedure was rated either as no pain in 29 patients (76.3%)...