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 ...

Single dose caudal epidural anesthesia is a commonly performed regional technique in paediatric anesthesia. It supplements general anesthesia during surgery and provides analgesia in the post operative period for lower abdominal surgeries not exceeding 45 minutes. Aims and Objectives: A comparative prospective interventional study was conducted to assess the duration, efficacy and safety of two...

A retrospective survey has been made on the effect of lumbar epidural block on 72 out of 133 breech deliveries at two hospitals. Epidural analgesia was found to cause prolongation of the second stage of labour but to have no effect on the incidence of operative intervention during delivery or on the condition of the infant at birth. It is concluded that regional block analgesia is not contraind...

An appropriate post operative analgesia after thoracotomies is mandatory to improve the patient's outcome, reduce complications rate, morbidity, hospital cost and length of stay. In this paper we review the evidences regarding the use of paravertebral block for thoracic surgery. In particular we examine the effect of paravertebral block compared to the other technique in four major issues: anal...

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: Intraperitoneal instillation (IPI) of local anesthetic agents into peritoneal cavity has proved to be an effective method post-operative analgesia in laparoscopic cholecystectomy (LC). The addition adjuvants such as narcotics or α2-agonists been proposed prolong the duration analgesia. Aims and Objectives: This study aimed compare IPI periportal infiltration ropivacaine plus dexmede...

BACKGROUND Previous clinical studies have not examined the relationship between nicotine abstinence and opioid use for postoperative analgesia. This may be important because tobacco smokers are routinely required to abstain from smoking just before and during acute post-surgical recovery. This study investigated IV morphine self-administration [patient controlled analgesia (PCA)], subjective pa...

OBJECTIVE To evaluate the adequacy of pre-operative analgesia and patient's satisfaction at the accident and emergency department, in terms of pain relief. STUDY DESIGN Observational study. PLACE AND DURATION OF STUDY The Accident and Emergency Department (A&E) of Civil Hospital, Karachi, during April and May, 2007. METHODOLOGY Patients presenting with acute abdomen or tauma were included...

This study was designed to compare the intra-operative and post-operative analgesic requirements and side effects of using fentanyl infusion versus remifentanil infusion during short-duration surgical procedures in children. The study comprised of 40 children randomly allocated into two equal groups: fentanyl (F-group) or remifentanil (R-group). Both were administered a continuous intravenous (...

Background: Noxious stimuli during craniotomy may induce hypertension and tachycardia, giving rise to morbidity in patients with intracranial hypertension. Craniotomy is followed by moderate level of postoperative pain. Objective: Evaluate the effectiveness of scalp block on hemodynamic response to noxious stimuli, intraoperative fentanyl requirement and post-operative analgesia. Methods: Sixty...