We present an advanced battlefield analgesia protocol that is designed to provide the maximum benefit for the greatest number of patients using the minimum of resources. During the development we considered logistics, drug pharmacology and safety, aetiology of the pain and the experience of the expected administrator. Analgesia is only considered after the "ABCD" criteria of the Primary Survey ...

To the Editor: Paul et al. should be congratulated for examining the body of evidence on the comparison of patient-controlled analgesia opioid or epidural analgesia with femoral nerve blockade for analgesia after a common operation, total knee arthroplasty. A meta-analysis, by pooling and analyzing statistically the results from several combinable studies, can increase the statistical power to ...

conclusions this study showed that magnesium sulphate added to sufentanil through pcia is an effective method to alleviate pain in patients undergoing lower limb orthopedic surgery. moreover, we found fewer side effects on magnesium-sufentanil regimen in terms of in nausea, vomiting, and sedation; and patients’ satisfaction in this regimen was more rather than that in the regiment of sufentanil...

Anesthesia for major head and neck surgery is historically heavily reliant on opioids with deleterious consequences. We reported a case of patient history heroin abuse submitted to tongue carcinoma excision, followed by free-flap reconstruction under opioid-free anesthesia. used propofol total intravenous anesthesia perfusions ketamine, dexmedetomidine, lidocaine, magnesium sulfate analgesia, c...

Patient-controlled analgesia (PCA) is an important means for postoperative analgesia with parenteral opioid. However, postoperative nausea and vomiting (PONV) remains a major problem with a PCA system. Droperidol is used in PCA to prevent PONV. Extrapyramidal reactions by droperidol are, however, occasionally induced. We describe two cases of severe extrapyramidal hypertonic syndrome with an in...

Objective: To compare the efficacy of supraclavicular brachial plexus block with patient-controlled intravenous analgesia (PCIA) for post-operative pain management in forearm surgery.
 Study Design: Comparative Cross-Sectional Study.
 Place and Duration Study: Department Anesthesia, Combined Military Hospital, Kharian Pakistan, from Sep 2018 to Nov 2019.
 Methodology: Eighty-two ...

BACKGROUND: Patients undergoing thoracic surgery frequently suffer from chronic pain after thoracotomy. Chronic can lead to a significant decline in patient’s quality of life. However, the effect single-shot paravertebral block (TPVB) combined with intravenous analgesia on incidence is unclear. OBJECTIVE: The objective was evaluate impact TPVB versus continuous epidural (TEA) STUDY DESIGN: A ra...