PURPOSE Several analgesic techniques are available for pain management after a major operation. MATERIALS AND METHODS From December 2005 to February 2006, a prospective, double-blind study was performed involving 90 patients who had undergone a total knee arthroplasty. Patients were randomly divided into three equal groups (n=30). Demographic data, including age, height, weight, knee score, v...

Postoperative epidural analgesia often needs rate readjustment using top-ups. Patient-controlled epidural analgesia (PCEA) is said to reduce the requirement of epidural top-ups when compared to continuous epidural analgesia (CEA). We compared CEA and PCEA in major thoracic and abdominal surgery, in a cohort study. The primary endpoint was the required number of epidural top-ups. Secondary endpo...

The increased interest in pain management by physicians in general and anaesthetists in particular over the last two decades, along with advances in our knowledge of nociceptive mechanisms, has led to the introduction of acute pain services. Many are based primarily on patientcontrolled analgesia (PCA), which has been shown to provide superior analgesia than conventional intramuscular opioid an...

OBJECTIVE To report a successful vaginal delivery using slow infusion of epidural analgesia in a patient with both severe aortic stenosis and insufficiency. CLINICAL PRESENTATION AND INTERVENTION A 26-year-old primigravid patient presented to our hospital for delivery. She had aortic stenosis and insufficiency due to rheumatic fever. Although the obstetrician recommended cesarean section owin...