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...

Twenty-four otherwise healthy patients scheduled for elective major abdominal surgery received general anaesthesia plus lumbar extradural analgesia. A loading dose of 0.5% plain bupivacaine was given to produce sensory analgesia (pin prick) from T4 to S5 and followed by a continuous infusion of 0.5% plain bupivacaine 8 ml h-1. Pain, scored on a 5-point scale, and sensory analgesia were assessed...

INTRODUCTION Anesthetic management with airway stenosis is challenging. Techniques for maintaining spontaneous respiration are required under sedative and analgesic conditions. CASE PRESENTATION A 35-year-old Chinese woman presented to our hospital with difficulty breathing. Computerized tomography showed a tumor in the frontal area of her neck, which was causing extreme narrowing of her trac...

the quality of subarachnoid block can be improved by adding opioids to the local anesthetics. we compared the analgesic effects of different doses of intrathecal sufentanil added to lidocaine %5 for elective cesarean section. this study was a prospective, randomized, double-blind, controlled trial. 90 pregnant women with asa class i-ii, scheduled for elective cesarean section under spinal anest...

Background: Adjuvants to local anesthetics have been used prolong the duration of analgesia after brachial plexus block surgery. This study evaluates effects adding magnesium sulfate and fentanyl with ropivacaine in supraclavicular analgesia. Aims Objectives: The aim present was compare onset sensory motor blockade quality perioperative post-operative side if any, provided by as adjuvants block...

Materials and methods: Sixty patients with risk of CAD scheduled to undergo lower extremity surgery were divided into 3 groups. Group G was administered general anesthesia followed by intravenous patient-controlled analgesia (I.V PCA) (n = 20). Group L was administered lumbar epidural anesthesia followed by lumbar epidural analgesia (n = 20). Group T was administered general anesthesia combined...

Background: Patient-controlled epidural analgesia (PCEA) pump has proven to reduce the incidence of unscheduled clinician interventions and total dose local anesthetic administered for labor pain. Aims Objectives: The aim study was compare quality analgesia, maternal satisfaction, amount rescue needed, neonatal outcome between delivered manual bolus doses PCEA pumps analgesia. Materials Methods...

conclusions both intravenous and epidural analgesic techniques with combination of analgesics provide proper postoperative pain control after major gynecologic cancer surgeries without any significant complications. regarding lower sedative and respiratory depressant effects of epidural analgesia, it seems that this method is a safer technique for postoperative pain relief in these patients. re...

BACKGROUND Previous studies suggest that caudal administration of ketamine cause effective analgesia. The purpose of the current study was to compare the clinical effectiveness and plasma concentrations of S(+)-ketamine after caudal or intramuscular administration in children to distinguish between local and systemic analgesia. METHODS After induction of general anesthesia, 42 patients, aged ...