BACKGROUND AND OBJECTIVES Inguinal herniorrhaphy is one of the most common surgeries in men. Neuroaxis block is the anesthetic technique used more often and in the majority of the cases the patient is ready to be discharged from the hospital a few hours after the procedure, as long as satisfactory analgesia is present and nausea and vomiting are absent. Tramadol is an analgesic drug that can be...

Role of Opioids: Historically opioids are most commonly administered analgesia for postoperative CS pain management. They are used both systemically and neuraxially for postoperative analgesia. Systemic administration is mostly used after general anaesthesia and in places where there is unavailability of long acting preservative free opioids or lack of expertise in its usage. Systemic routes fo...

One hundred and eighty-two consecutive Caesarean sections under epidural analgesia have been reviewed; 120 of the patients had epidural analgesia induced during labour and 62 had epidural analgesia induced for the operation only. Analgesia was satisfaaory in 170 patients and operating conditions were satisfactory in 173. The most frequent complication was vomiting which was associated with the ...

bupivacaine, and neurotoxic reactions after the use of lignocaine for intravenous regional analgesia. Symptoms have ranged from headache and dizziness to loss of consciousness and convulsions.2 4 Reports of adverse reactions after intravenous regional analgesia with bupivacaine are few and the symptoms minimal.' Ware reported mild transient drowsiness after release of the cuff in only one patie...

BACKGROUND AND OBJECTIVES Perineural dexamethasone prolongs the duration of single-injection peripheral nerve block when added to the local anesthetic solution. Postulated systemic mechanisms of action along with theoretical safety concerns have prompted the investigation of intravenous dexamethasone as an alternative, with decidedly mixed results. We aimed to confirm that addition of intraveno...

We investigated the effect of a new fixator made from a medication port of a intravenous fluid container on the migration of epidural catheter. Fifty patients were recruited to receive epidural analgesia and allocated to one of two groups. In the new fixator group (n=25) epidural catheter was advanced through a fixator then fixed with transparent adhesive dressing, in the standard dressing grou...

BACKGROUND Propofol is a popular agent for providing intraoperative sedation in pediatric population during lumbar puncture and spinal anesthesia. Adjuvant-like clonidine is used increasingly in pediatric anesthesia to provide postoperative analgesia with a local anesthetic agent. The aim of this study was to assess the effects of intrathecal and intravenous clonidine on postoperative analgesia...

BACKGROUND AND METHODS To evaluate the efficacy of postthoracotomy analgesia with intermittent epidural fentanyl. 50 patients were allocated randomly into 2 groups. The first group received intermittent epidural fentanyl and the second group received intermittent intravenous analgesia using pethidine. The variables studied were: pain score; total amount of additional intravenous opioid analgesi...