STUDY OBJECTIVE We compare a high initial dose of 2 mg intravenous hydromorphone against titration of 1 mg intravenous hydromorphone followed by an optional second dose. METHODS Patients aged 21 to 64 years with severe pain were randomly allocated to 2 mg intravenous hydromorphone in a single bolus or the "1+1" hydromorphone titration protocol. 1+1 Patients received 1 mg intravenous hydromorp...

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...

Introduction: Patient-controlled analgesia (PCA) with intravenous opioids is a more efficient method to achieve better postoperative analgesia. This study aims describe the use of patient-control in post-hysterectomy patients.
 Case presentation: There were two total hysterectomy patients who used PCA as pain management. Postoperatively, first patient has given paracetamol tablets 500 mg e...

Pain is a predictable consequence following operations, but the management of postoperative pain is another challenge for anesthesiologists and inappropriately controlled pain may lead to unwanted outcomes in the postoperative period. Opioids are indeed still at the mainstream of postoperative pain control, but solely using only opioids for postoperative pain management may be connected with ri...

  Purpose: Patients may control postoperative pain by self-administration of intravenous opioids   using devices designed for this purpose (patient controlled analgesia or PCA). This study set out   to determine whether any of the two opioid administrations (i.e. PCA or conventional analgesia)   would provide superior pain relief among patients undergoing laparoscopic cholecystectomy   or not. ...

  Purpose: Patients may control postoperative pain by self-administration of intravenous opioids   using devices designed for this purpose (patient controlled analgesia or PCA). This study set out   to determine whether any of the two opioid administrations (i.e. PCA or conventional analgesia)   would provide superior pain relief among patients undergoing laparoscopic cholecystectomy   or not. ...

Background: Various additives have been evaluated for the purpose of enhancing quality analgesia and prolonging duration spinal anesthesia. Aims Objectives: This randomized study was conducted to evaluate efficacy intravenous dexamethasone in Materials Methods: A total 100 patients scheduled lower segment cesarean section under anesthesia were randomly allocated into two groups, Group-1 Group-2...

INTRODUCTION Purple Glove Syndrome is a devastating complication of intravenous phenytoin administration. Adequate analgesia and preservation of limb movement for physiotherapy are the two essential components of management. CASE PRESENTATION A 26-year-old Tamil woman from India developed Purple Glove Syndrome after intravenous administration of phenytoin. She was managed conservatively by li...