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: 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 ...

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...

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 intravenous administration of paracetamol immediately after knee arthroscopy improved postoperative pain, decreased analgesic administration, maintained stable hemodynamic parameters, had no complications related to opiates, no nausea and vomiting, and increased patient satisfaction and comfort in comparison to pca with morphine. results there was no significant difference regarding...

conclusions this study showed that, compared to simply increasing the dose of morphine, adding chloropromazine, promethazine, midazolam, and clinidine to morphine significantly controlled pain scores and increased treatment satisfaction in addicted patients without notable side effects. objectives the objective of this study was to evaluate the analgesic effects of adding clonidine, promethazin...