conclusions clonidine plus bupivacaine can increase the duration of motor and sensory block in arthroscopic cruciate ligament repair under spinal anesthesia. however, due to significant hemodynamic changes, further studies are required to determine a safer dose. results all patients were males with a mean age of 24.9 years in group b, and 25.2 years in group bc (p > 0.05). in group bc, time lap...

The intra-articular injection of local anaesthetic is frequently used for pain relief after arthroscopy. There is, however, no published evidence of the analgesic effect of bupivacaine in the ankle. In a randomised, double-blind study, 35 patients undergoing arthroscopy of the ankle were allocated to receive intra-articular saline or bupivacaine. Pain was assessed using pain scores and addition...

Background: Many intrathecal adjuvants are being used with local anesthetics to prolong the intraoperative anesthesia and postoperative analgesia. Clonidine buprenorphine known potentiate effects of anesthestics. Aims Objectives: This study was designed compare duration analgesia as well sensory motor block onset, hemodynamic changes, perioperative complications between clonidine when an adjuva...

Background: Intraperitoneal instillation (IPI) of local anesthetic agents into peritoneal cavity has proved to be an effective method post-operative analgesia in laparoscopic cholecystectomy (LC). The addition adjuvants such as narcotics or α2-agonists been proposed prolong the duration analgesia. Aims and Objectives: This study aimed compare IPI periportal infiltration ropivacaine plus dexmede...

Thoracotomy is widely recognised as one of the most painful surgical procedures. The combination of extensive tissue dissection and dynamic respiratory movement postoperatively makes post-thoracotomy pain control particularly challenging. In the short term, inadequate analgesia is associated with respiratory complications, poor mobilisation, delayed discharge and respiratory infections. More im...

To evaluate the effect of adding midazolam to bupivacaine to prolong the analgesia characteristics of brachial plexus block. After preanaesthetic assessment all the patients were premedicated with diazepam 0.1mg/kg orally one hour before the surgery. Patients were randomly divided into group1 & 2. Group -1 patients received supraclavicular brachial plexus block with 30ml of 0.5% bupivacaine & g...

BACKGROUND Effective pain management following total knee arthroplasty (TKA) is fundamental in achieving positive rehabilitation outcomes. The purpose of our study was to investigate post operative pain management in relation to short term functional mobility in an intervention group receiving concomitant use of an IV narcotic PCA and a continuous infusion of local anaesthetic via a femoral ner...

Background: Pain could lead to an increased consumption of opioids intraoperatively as well postoperatively with subsequent side effects and prolonged post-operative recovery. Transverse abdominus plain (TAP) block is commonly used for analgesia. We wanted study the effect TAP block, when given pre-emtive Aims Objectives: The was conducted ascertain benefit before surgical incision. primary obj...