The parietal component of pain occupies an important place in the management postoperative analgesia. Parietal infiltration is a technique that fits into concept multimodal analgesia using several analgesic products simultaneously. This simple and reliable makes it possible to reduce use opioids therefore their adverse effects; without increasing risk infection. It reduces length hospitalization.

BACKGROUND Perioperative thoracic epidural analgesia reduces stress response and pain scores and may improve outcome after cardiac surgery. This prospective, randomized trial was designed to compare the effectiveness of patient-controlled thoracic epidural analgesia with patient-controlled analgesia with intravenous morphine on postoperative hospital length of stay and patients' perception of t...

This retrospective study compared post-operative epidural analgesia (E), continuous peripheral nerve blocks (CPNB) and morphine infusion (M) in 68 children undergoing limb reconstruction with circular frames. The data collected included episodes of severe pain, post-operative duration of analgesia, requirement for top-up analgesia, number of osteotomies, side effects and complications. There wa...

OBJECTIVE Our purpose was to determine the effect of epidural analgesia on nulliparous labor and delivery. STUDY DESIGN Normal term nulliparous women in early spontaneous labor were randomized to receive either narcotic or epidural analgesia. RESULTS When compared with the group receiving narcotic analgesia (n = 45), the group receiving epidural analgesia (n = 48) had a significant prolonga...

PURPOSE OF REVIEW To consider optimal analgesic strategies for thoracic surgical patients. RECENT FINDINGS Recent studies have consistently suggested analgesic equivalence between paravertebral and thoracic epidural analgesia. Complications appear to be significantly less common with paravertebral analgesia. SUMMARY There is good evidence that paravertebral block can provide acceptable pain...

It has been reported that some agents which increase the concentration of catecholamines in brain potentiate morphine analgesia (3). It has also been reported that reserpine which depletes catecholamines from the brain and peripheral tissue antagonizes morphine analgesia (5). Since the role of catecholamines in morphine analgesia is a subject -of great interest, it was thought worthwhile to see...

Background: Programmed intermittent epidural bolus (PIEB) as a new technique for labor analgesia has aroused extensive attention. The character of separation the motor block to sensory makes ropivacaine becoming an important local anesthetic analgesia. In this meta-analysis, we aimed assess efficiency and safety PIEB regime compared continuous infusion (CEI) on with following evidence emerged n...

UNLABELLED Combined spinal epidural analgesia (CSE) for labor pain relief has become increasingly popular. However, the effect of intrathecal sufentanil on the incidence of uterine hyperactivity and fetal heart rate (FHR) abnormalities remains controversial. We hypothesized that the use of intrathecal sufentanil in a dose of 7.5 microg is more likely to induce a nonreassuring FHR tracing than a...

BACKGROUND There is a legal obligation to explain the procedure and use of epidural analgesia in labor primarily due to the possibility of potential risks and associated complications. The present study details on the survey carried out to ascertain the current status of obtaining informed consent (IC) for explaining the epidural analgesia in labor. METHODS The present study is based on a sur...