BACKGROUND Postoperative pain prevention is essential for the recovery of surgical patients. Continuous (thoracic) epidural analgesia (CEA) is routinely practiced for major abdominal surgery, but evidence is conflicting on its benefits in this setting. Potential disadvantages of epidural analgesia are a) perioperative hypotension, frequently requiring additional intravenous fluid boluses or pro...

Patients with peripartum cardiomyopathy may require analgesia/anesthesia for delivery or cesarean section. Many different methods of anesthesia has been used for this purpose. Remifentanil was used safely in peripartum cardiomyopathic patients, but there is not any report about etomidate usage in such patients. We report on a 19 years old patient, at 32 weeks of gestation, with severe peripartu...

A 37-year-old woman diagnosed with sickle cell anemia (SCA), beta (+) thalassemia, Crohn's disease, and liver dysfunction was scheduled for laparoscopic cholecystectomy (LC) due to acute cholecystitis with gall bladder. Regional anesthesia was performed. An epidural catheter was inserted into the 9-10 thoracal epidural space and then 15 ml of 0.5% bupivacaine was injected through the catheter. ...

BACKGROUND Many clinical and experimental studies have suggested that diabetes or hyperglycemia alter opioid responsiveness. However, little information is available on the effects of diabetes mellitus on opioid requirements in the postoperative period. METHODS Sixty-four patients scheduled for elective, total abdominal hysterectomy were included into this prospective study to evaluate the ef...

BACKGROUND Lumbar spine surgery demands intense analgesia. Preemptive multimodal analgesia (MMA) is a novel approach to attenuate the stress response to surgical stimulus. AIMS The aim of the study was to assess the intraoperative morphine consumption in patients undergoing lumbar spine surgery. PATIENTS AND METHODS A randomized, prospective, double-blind study involving 42 patients belongi...

Background: Paravertebral block has been established technique for providing analgesia to the chest and abdomen. We conducted the current study to compare single dose paravertebral block (PVB) versus single dose epidural blockade (EP) for pain relief after renal surgery Methods: Eighty patients scheduled for renal surgery were randomly assigned into two groups according to the analgesic techniq...

BACKGROUND Spinal anesthesia is widely used for caesarean section. Addition of intrathecal magnesium sulfate to local anesthetics seems to improve the quality of block and prolong the duration of analgesia. OBJECTIVES The present study was designed to examine whether addition of intrathecal magnesium sulfate enhances the analgesic efficacy of intrathecal bupivacaine in patients undergoing ces...

OBJECTIVE Total knee arthroplasty (TKA) is associated with considerable postoperative pain. We compared the effects of intraoperative intraarticular levobupivacaine and bupivacaine on postoperative analgesia and analgesic consumption after total knee arthroplasty. METHODS Sixty ASA (American Society of Anesthesiologists) physical status II-III, 18-75 years old patients scheduled for unilatera...

Background: Dexmedetomidine acts on the pre and post-synaptic sympathetic nerve terminal and central nervous system. It decreases the sympathetic outflow and norepinephrine release; therefore it leads to sedation, analgesia and hemodynamic effects. The aim of the study was to compare the effect of fentanyl and dexmedetomidine as adjuvant to epidural bupivacaine in parturients undergoing normal ...

Two common forms of postoperative analgesia used in patients following an anterior cruciate ligament repair (ACLR) are the femoral nerve block (FNB) and the combined femoral-sciatic nerve block (FSB). The purpose of this study was to determine if the addition of the sciatic nerve block to the FNB is truly beneficial in ACLR patients requesting regional anesthesia for postoperative pain control....