injecting local anesthetic at the seeking current would be appealing.it would save time and avoid potentially dangerous manipulations of the needle. this study aimed to test the hypotheses that in vertical infraclavicular block, injecting local anesthetic at a seeking current of 0.8 ma would produce the same quality of block as injecting at ≤0.5ma. a total of sixty asa i -iii adult patients sch...

OBJECTIVE This study was to find out the total duration of postoperative analgesia following circumcision in children when Tramadol was used as an adjunct to local anaesthetics in penile block. METHODS Forty children of age 5 - 13 yrs, ASA I & II were enrolled in this study. Patients were premedicated with ketamine and atropine intramuscularly prior to separation from their parents and IV can...

Epidural analgesia is an extremely effective and popular treatment for labor pain. In this review, we trace the history of the use of epidural analgesia and its refinements. We then outline the goals of treatment and methods used to attain those goals. The use of low concentrations of local anesthetics, combined with lipid-soluble opioids, does not impede the progress of labor or depress the ne...

Dehorning calves is a necessary practice that should be conducted as early as possible and with appropriate anesthetic/analgesia. With the possible exception of caustic paste, calves perceive and react to acute pain during dehorning, regardless of method, when no local anesthetic is used. Extensive research has shown that dehorning stimulates both an acute pain response and a delayed inflammato...

Continuous intercostal nerve blockade was used to provide analgesia after cholecystectomy. The blockade was maintained by the insertion of a single extradural catheter into an appropriate intercostal space and by "topping-up" with local anaesthetic on demand. Of the patients studied, 92%, and 76%, required no additional analgesia in the first 24 h and first 48 h following operation, respectivel...

OBJECTIVE To evaluate the use of infiltration of periarticular analgesic agents intraoperatively in total knee arthroplasty (TKA), with regard to benefits, reduction of pain, opioid consumption, improvement of range of motion and early ambulation. METHODS To analyze the benefits of periarticular drug infiltration, the patients submitted to TKA were evaluated, being separated into two groups. ...

Acupuncture, a traditional healing art surviving over four millennia, has its roots in indigenous Chinese Daoism. Although modern acupuncturists disregard Daoist philosophy, needling itself has never lost its basis of naturalness and simplicity. Acupuncture was fostered in the oriental world and reached many Western nations as a treatment for various chronic conditions, particularly pain. Evide...

for investigating the performance of standard operating procedures in anaesthesia. Br J Anaesth 2007; 99: 673–8 17 Bruppacher H, Alam S, LeBlanc V, et al. Simulation-based training improves physicians’ performance in patient care in high-stakes clinical setting of cardiac surgery. Anesthesiology 2010; 112: 985–92 18 Murray D, Boulet J, Avidan M, et al. Performance of residents and anesthesiolog...

Effective postoperative analgesia is important from the patient’s perspective and can also improve clinical outcomes. Recent surveys report only modest success in providing suitable analgesia, as 30% to 86% of surgical patients report moderate to severe pain after a surgical procedure. Although “advanced” analgesic techniques, such as epidural analgesia or perineural catheters, can provide supe...