background: the aim of this study is comparing acth changes in epidural and intravenous analgesia technique after lower limb orthopedic surgery.methods: in a randomized clinical trial in hazrat rasool  akram hospital during 1387-88 , 60 patients candidate for surgery on the lower extremities were randomly allocated to receive either postoperative analgesia  with epidural analgesia (pcea) or iv ...

background: opiate is used in patient-controlled intravenous analgesia pumps (pcia) for controlling pain in post-surgical patients.other drugs are remarkably added to opioid pumps to enhance quality, lengthen analgesia, and reduce side effects. lidocaine, a local anesthetic which inhibits sodium channels, has anesthetic and analgesic effects when injected locally or intravenously. the objective...

background patient-controlled analgesia is used for both labor and postoperative analgesia. objectives this study aimed to assess user satisfaction and functionality of two ambulatory, electronic patient controlled analgesia devices, the gemstar pump hospira inc., illinois, usa) and the ambit ambulatory infusion therapy pump (sorenson medical products, utah, usa). patients and methods it was a ...

conclusions these findings indicate the usefulness of pca compared to the routine methods on pain relief after operation.therefore this method can be recommended to alleviate postoperative pain. background unrelieved pain after surgery can lead to increased postoperative complications, prolonged hospital stay and delayed recovery. patient-controlled analgesia (pca) has emerged as a standard tec...

conclusions both pca techniques provided effective pain scores (< 3) after cardiac surgery; but generally, pca-paracetamol infusion has a better analgesic effect. results the trend of pain scores did not have any significantly difference between group r and group p except for hour 8 and hour 18 after surgery that vas was significantly lower in group p than group r (p = 0.031, p = 0.023, respect...

background to alleviate stinging pain in the skin entry area and visceral discomfort in patients who are undergoing eswl. objectives this study was designed to investigate the effectiveness of the emla cream in combination with remifentanil patient-controlled analgesia (pca) in patients undergoing eswl treatment. patients and methods sixty patients were divided into two double-blind randomized ...

conclusions the use of diclofenac suppository combined with iv pca results in reduced narcotic usage and a higher level of patient satisfaction compared to the use of iv acetaminophen combined with iv pca. results the patients’ characteristics were the same in both study groups. the patients’ satisfaction levels were higher among those who received diclofenac when compared with the acetaminophe...

Pain may contribute to cognitive decline, which is a common complication in the early postoperative period. We compared the effects of two common pain management techniques, intravenous patient-controlled analgesia (PCA-IV) and patient-controlled epidural analgesia (PCEA), on cognitive functioning in the immediate postoperative period. Patients hospitalized for elective surgery were randomly as...

BACKGROUND Patient-controlled analgesia is used for both labor and postoperative analgesia. OBJECTIVES This study aimed to assess user satisfaction and functionality of two ambulatory, electronic patient controlled analgesia devices, the GemStar pump Hospira Inc., Illinois, USA) and the ambIT Ambulatory Infusion Therapy pump (Sorenson Medical Products, Utah, USA). PATIENTS AND METHODS It wa...

n engl j med 362;16 nejm.org april 22, 201