Objective: To evaluate and compare the characteristics of spinal block, its postoperative analgesic effects, using intrathecal inj. Bupivacaine 0.5% and its combination with nalbuphine or buprenorphine in patients undergoing lower abdominal surgery. Methods: Sixty patients aged 30-60years scheduled for elective lower abdominal surgeries randomly received hyperbaric bupivacaine 0.5% 2.6 ml (grou...

INTRODUCTION Epidural analgesia provides excellent analgesia after major surgery but it is not without adverse effects. This retrospective study aims to evaluate the efficacy of analgesia and the problems commonly encountered postoperatively. MATERIALS AND METHODS Elective surgical patients who had epidural catheters inserted perioperatively intended for postoperative analgesia over a 1-year ...

Patients undergoing total hip and knee arthroplasty experience substantial and sustained postoperative pain. Inadequate analgesia may impede physical therapy and rehabilitative efforts and delay hospital dismissal. Traditionally, postoperative analgesia after total joint replacement was provided by either intravenous patient-controlled analgesia or epidural analgesia. Each, however, had disadva...

AIM Vitrectomies are performed either under general anesthesia (GA), local anesthesia (LA), or a combination of both. Postoperative pain is expected to be less in patients with LA because of prolonged action of the local anaesthetic. Pre-emptive analgesia is based on the idea that analgesia initiated before a nociceptive event will be more effective than analgesia commenced afterwards. The auth...

Background: Cleft Palate (CP) repair is associated with intense pain, which is difficult to assess and treat; different types of nerve blocks were described to control such pain. Patients and Methods: 40 pediatric patients were divided into 2 groups: 20 patients received bilateral Greater Palatine Nerve block (GPN group) and 20 patients received bilateral Suprazygomatic Nerve block (SMN group)....

BACKGROUND AND OBJECTIVES Patients undergoing abdominal surgery often receive an epidural infusion for postoperative analgesia. However, when epidural analgesia is contraindicated or unwanted, the administration of opioids is the usual means used to relieve pain. Various regional analgesia techniques used in conjunction with systemic analgesia have been reported to reduce the cumulative postope...

Postoperative analgesia in patients undergoing robot-assisted thoracic surgery: a comparison between epidural and intercostal nerve block combined with intravenous patient-controlled

BACKGROUND The aim of this study is to investigate the effectiveness of preemptive thoracic epidural analgesia (TEA) comparing conventional postoperative epidural analgesia on thoracotomy. MATERIAL AND METHODS Forty-four patients were randomized in to two groups (preemptive: Group P, control: Group C). Epidural catheter was inserted in all patients preoperatively. In Group P, epidural analges...