Neuraxial techniques of anaesthesia and analgesia are the current choice in obstetrics for efficacy and general low risk of major complications. Concern exists about neuraxial anaesthesia in patients with occult neural tube defects, regarding both labour analgesia and anaesthesia for Caesarean section. Recently, remifentanil infusion has been proposed as an analgesic technique alternative to lu...

INTRODUCTION As a result of the increased number of both diagnostic and therapeutic procedures in pediatric outpatients, sedation and analgesia have gained relevance in this context. OBJECTIVE To characterize the type of sedation and analgesia used by pediatric sedation teams in procedures done outside the operating room, as well as its safety and outcome. POPULATION AND METHODS All procedu...

150 words) Study Objective To compare intranasal fentanyl (INF) with intravenous morphine (IVM) for prehospital analgesia. Methods Randomized, controlled, open-label trial. Consecutive adult patients (n=258) requiring analgesia (Verbal Rating Score (VRS) >2/10 non-cardiac or >5/10 cardiac) were recruited. Patients received INF 180mcg +/2 doses of 60 mcg at ≥ 5 minute intervals, or IVM 2.5-5mg +...

Proximal humeral fractures are a common injury after falls, particularly in the elderly population. An ultrasound-guided hematoma block is a novel technique for analgesia in cases when standard intravenous analgesia is not efficacious. We present a case in which ultrasound-guided hematoma block was the ideal method for adjunctive pain control in a patient with a comminuted humeral head fracture.

BACKGROUND Postoperative opioid use following ileostomy reversal procedures contributes to postoperative ileus. We assessed the impact of a liposome bupivacaine-based, opioid-sparing multimodal analgesia regimen versus a standard opioid-based analgesia regimen on postsurgical opioid use. We also assessed health economic outcomes in patients undergoing ileostomy reversal at our institution, whic...

intrathecal injection of sufentanil with adrenalin was performed in 45 cases (20 female, 25 male age range: 18-40 years). all injections were performed in the sitting position, with a number 20 intrathecal needle immersed in adrenalin. the cases were observed for 72 hours. maximum duration of analgesia was 12 hours (60%) and the minimum was 3 hours (13.3%). this method reduces the need for repe...

BACKGROUND Several factors, such as compromised cardiopulmonary function, anticoagulative therapy, or anatomical deformity in the elderly, prevent general anesthesia and neuraxial blockade from being conducted for total knee replacement arthroplasty (TKRA). We investigated the efficacy of femoral/sciatic nerve block with lateral femoral cutaneous nerve block (FSNB) as an alternative procedure i...

BACKGROUND Postoperative pain after major open gynecologic surgeries requires appropriate pain management. OBJECTIVES This study aimed at comparing perioperative patient controlled epidural analgesia (PCEA) and patient controlled intravenous analgesia (PCA) after gynecologic oncology surgeries. PATIENTS AND METHODS In this clinical trial study, 90 patients with American society of anesthesi...

Patients undergoing total hip and knee arthroplasty experience substantial and sustained postoperative pain. Inadequate analgesia may impede physical therapy and rehabilitative efforts and delay hospital dismissal. Traditionally, postoperative analgesia after total joint replacement was provided by either intravenous patient-controlled analgesia or epidural analgesia. Each, however, had disadva...