Modern view of perioperative pain is to it as an impediment recovery and various methods are used facilitate rapid return normal functional activity. Post operative relief after knee surgeries, especially total replacement, a major concern. It severe in 60% patients moderate 30%. causes undue distress hinders early intense physical therapy, considered one the most important factors for optimal ...

Introduction: Thoracic segmental epidural analgesia despite its technical difficulty and time consumption provides better analgesia and has a beneficial effect on the post-operative pulmonary and metabolic function; immunological and stress response. Aims and Objectives: To study the efficacy of fentanyl for pain relief of inpatients after upper abdominal procedures and compare with bupivacaine...

Post Arthroscopic intra-articular analgesia is a better method to avoid post-operative pain after arthroscopic surgery, thus avoiding the adverse effects of systemic analgesics. In this prospective randomized double blind study conducted on 90 patients, 30 patients in group A received 20 ml of intra-articular saline, 30 patients in Group B received 10 ml of intra-articular saline and 10 ml of 0...

BACKGROUND AND AIMS Modified radical mastectomy (MRM) may be associated with severe post-operative pain, leading to chronic pain syndrome. We compared the post-operative analgesic profile of two ultrasound-guided nerve blocks: Paravertebral block (PVB) and serratus plane block (SPB). METHODS This double-blind, randomised study was conducted on fifty adult females, scheduled for MRM with axill...

This survey addresses the structure and function of the acute pain services (APS) in the UK 10 years after its initial commencement. APS is now available in many hospitals (89.4%). The APS team consists mainly of anaesthetists, occasionally includes nurses and pharmacists, and rarely physiotherapists and psychologists. Anaesthetists, mainly, cover the out-of-hours service and nurses only occasi...

BACKGROUND A growing proportion of veterans treated at the Veterans Health Administration (VA) have a history of post-traumatic-stress-disorder (PTSD), and there exists a higher rate of PTSD amongst veterans than the general population. The purpose of this study is to determine the correlation between PTSD and intra-operative analgesia, intra-operative time, and anesthesia type for cataract sur...

The ischemia necrosis of limb frequently requires surgery of amputation. Lumbar plexus and sciatic nerve block is an ideal intra-operative anesthetic and post-operative antalgic technique for patients of amputation, especially for high-risk patients who have severe cardio-cerebrovascular diseases. However, the duration of analgesia of peripheral nerve block is hardly sufficient to avoid the pos...

As arthroscopic knee procedures have evolved, so has the management of post-operative pain. Traditional pain management included intravenous narcotics, which often resulted in nausea and increased sedation. In an effort to reduce post-operative pain and minimize complications, the concept of multimodal analgesia evolved, including subcutaneous infiltration of local anesthetic, ketorolac and/or ...

background: the aim of this prospective, randomized, single-blinded study was to compare the effects of a carbohydrate drink 400 ml given 2 h before the surgery with preoperative overnight fasting on the gastric ph and residual volume, postoperative nausea and vomiting (ponv) and antiemetic consumption in patients undergoing laparoscopic cholecystectomy. materials and methods: forty american so...

background: observational studies, rather than randomized trials, revealed that statins might be associated with other benefits. objectives: the present study aimed at evaluating the preventive effects of lovastatin when used as a prophylactic agent for early and late infective complications after surgery. patients and methods: a total of 149 patients undergoing elective intracranial and spinal...