OBJECTIVE To compare post-operative outcomes between tubeless and conventional large-bore nephrostomy tube drainage following percutaneous nephrolithotomy in children. METHODS The study comprised 54 patients under 14 years of age who were undergoing percutaneous nephrolithotomy at 60 renal units and met the inclusion criteria. They were randomised to placement of a 16F nephrostomy tube (Group...

Background: Anticholinesterases increase the concentration of acetylcholine at the postsynaptic sites which cause prolonged analgesia. Aims Objectives: To evaluate and compare the effects of intrathecal neostigmine and intrathecal fentanyl on post-operative pain relief. Materials and Methods: After informed consent, 60 female patients of age between 40 and 60 years, belonging to ASA Grades 1 an...

Thirty-eight ASA I-III patients undergoing lower abdominal operations were randomly allocated to receive either morphine (group M, patient-controlled analgesia bolus = 1 mg of morphine) or tramadol (group T, patient-controlled analgesia bolus = 10 mg of tramadol) for post-operative patient-controlled analgesia (PCA) after receiving morphine intraoperatively. There were no between-group differen...

BACKGROUND New ways of decreasing post-operative analgesic drug requirements are of special interest after major surgery. Magnesium sulfate (MgSO(4)) alters pain processing and reduces the induction and maintenance of central sensitization by blocking the N-methyl-D-aspartate (NMDA) receptor in the spinal cord. We investigated whether supplementation of spinal anesthesia with combined intrathec...

One hundred consecutive, adult patients attending for bilateral mandibular third molar removal utilising standardised surgical and day case general anaesthetic protocols were recruited into a pilot study to investigate the effectiveness of different peri-operative analgesic regimes. Patients were randomised into five study groups using various preor post-operative combinations of non-steroidal ...

Background: The regional anaesthesia has lot of benefits compared to general for lower abdominaland limb surgeries. Epidural is an ideal anesthetic technique abdominal and lowerlimb additives are used with Anesthetics Early onset action, To prolong the duration ofaction, Analgesia Improving quality block.Aims Objectives: aim this study was clinical efficacy Dexmedetomidine versus Fentanylas add...