Patients were randomly allocated to one of two groups; intravenous or epidural analgesia, with twenty patients in each group. General anesthesia was induced with thiopentone 5-6 mgkg-1 and maintained with 0.8-1.0% isoflurane and 66% nitrous oxide in 33% O2. The trachea was intubated after administration of vecuronium 0.1 mgkg-1. Patients in the epidural analgesia groups then received, by random...

Ensuring analgesia both intraoperatively and postoperatively by the administration of local anesthetics or opioid through epidural catheter is a widespread method. On the other hand, after thoracic and major abdominal surgery, optimal perioperative anesthesia and analgesia can be provided through thoracic epidural analgesia and thus, postoperative morbidity and mortality can be decreased specif...

Epidural analgesia is the most common preferred method of labor analgesia. The aim of this study is to evaluate the knowledge and attitudes of Turkish obstetricians and gynecologists concerning epidural analgesia and to reveal their doubts as well. A prospective survey amongst obstetricians and gynecologists in Turkey (n=152) was conducted to obtain information about obstetricians' education, k...

INTRODUCTION Chest wall blunt trauma causes multiple rib fractures and will often be associated with significant pain and may compromise ventilator mechanics. Analgesia has great roll in rib fracture therapies, opioid are useful, but when used as sole agent may require such high dose that they produce respiratory depression, especially in elderly .the best analgesia for a severe chest wall inju...

BACKGROUND Despite the growing popularity of combined spinal-epidural analgesia in laboring women, the exact role of intrathecal opioids and the needle-through-needle technique remains to be determined. The authors hypothesized that anesthetic technique would have little effect on obstetric outcome or anesthetic complications. METHODS Data were prospectively collected from 2,183 laboring wome...

OBJECTIVE To assess the effect of epidural versus systemic labour analgesia on funic acid-base status at birth. DESIGN A systematic review of trials, both randomised and non-randomised, comparing epidural with systemic opioid analgesia. POPULATION Babies of 2102 mothers taking part in trials comparing epidural with systemic analgesia in five countries. METHODS From the published and unpub...

Background: To study the efficacy of spinal analgesia with low concentration bupivacaine for anorectal surgery as compared to low dose bupivacaine epidural analgesia. Methods: This randomized control study was conducted on 60 adult patients undergoing elective anorectal surgery. The patients were randomly allocated into one of three groups of 20 patient’s each. The two treatment arms received s...

In current practice, the length of epidural catheter that should be left in the epidural space is not standardised for effective postoperative analgesia. This prospective, randomised, double-blinded study aimed to determine the most appropriate length of epidural catheter that should be inserted into the epidural space for postoperative analgesia. We recruited 102 women and assigned them into t...