OBJECTIVES To evaluate whether remifentanil based general anesthesia combined with epidural analgesia for postoperative pain, has any advantages with respect to consumption of drugs, blood loss, quality of pain control, hemodynamic profile, in major abdominal surgery, as compared to other combined techniques. METHODS A retrospective study based on chart reviews of patients who have undergone ...

Background: Patient-controlled analgesia (PCA) has been advocated as superior to conventional controlled analgesia with less risk to patients in cardiac surgery. In this double-blinded, randomized controlled trial, we tested whether the addition of Tramadol to morphine for patient-controlled analgesia (PCA) resulted in improved analgesia efficacy and smaller morphine requirements compared with ...

objective : double aortic arch (daa) is a rare congenital malformation. strategies for diagnosis and treatment are different. thoracoscopic treatment of daa is limited to case reports or little case series. we report a description of our diagnostic and therapeutic approach and evaluate outcomes. methods: we reviewed charts of infants with double aortic arch who were hospitalized in our departme...

Background and aims: TAP block is an effective way to provide postoperative analgesia .TAP using ropivacaine alone has not been consistently proven be in alleviating pain after laparoscopic surgeries. The study aimed compare the combination of dexmedetomidine for laparascopic cholecystectomy patients post operative analgesia. Materials Methods: 60 ASA health status I or II, were divided equally...

The most commonly used technique for lower limb surgeries is Spinal anesthesia, as it economical, easy, effective and has less complications. Adjuvants are added with local anaesthetics intrathecally. Opioids adjuvants to improves the quality of intraoperative analgesia prolongs postoperative analgesia. To observe compare effect intrathecal bupivacaine fentanyl butorphanol on onset duration sen...

Background: Pain is an unpleasant subjective sensation which can only be experienced and not expressed, especially in children. The primary reason to treat or prevent pain is humanitarian. Aim and objectives: To assess Ultrasound Guided Ilioinguinal / Iliohypogastric nerve block versus Caudal block for post-operative analgesia in children undergoing unilateral groin surgery in ASA grade I and I...

The value of combining morphine with bupivacaine for caudal analgesia was investigated. Thirty children, undergoing orchidopexy, received a caudal block of 0.125% bupivacaine with or without morphine 0.05 mg kg-1. Analgesia, side-effects, ventilatory frequency and oxygen saturation (SaO2) were recorded after operation. None of the 15 patients receiving the bupivacaine-morphine mixture required ...

BACKGROUND AND OBJECTIVES Limited data are available comparing epidural and patient-controlled analgesia in site-specific colorectal surgery. The aim of this study was to evaluate 2 modes of analgesia in patients undergoing laparoscopic right colectomy (RC) and low anterior resection (LAR). METHODS Prospectively collected data on 433 patients undergoing laparoscopic or laparoscopic-assisted c...

BACKGROUND Anti-inflammatory drugs, NSAIDs, have become an important part of the pain management in day surgery. The aim of the present study was to evaluate the effect of Coxib premedication on the intra-operative anaesthetic requirements in patients undergoing elective ankle surgery in general anaesthesia. TYPE OF STUDY Prospective, randomized study of the intra-operative anaesthetic-sparin...