PURPOSE OF REVIEW Regional analgesia for labor pain and general anesthesia for cesarean section in the morbidly obese parturient is associated with increased maternal and perinatal complications. The purpose of this review is to describe the anesthetic management of the morbidly obese parturient. RECENT FINDINGS Compared to the lean parturient, the morbidly obese parturient has an increased l...

background many multimodal analgesia techniques have been tried to provide adequate analgesia for midline incisions extending above and below the umbilicus aiming at limiting the perioperative use of morphine thus limiting side effects. ultrasound (us) guidance made the anesthesiologist reconsider old techniques for wider clinical use. the rectus sheath block (rsb) is a useful technique under-u...

Materials and methods: Sixty patients with risk of CAD scheduled to undergo lower extremity surgery were divided into 3 groups. Group G was administered general anesthesia followed by intravenous patient-controlled analgesia (I.V PCA) (n = 20). Group L was administered lumbar epidural anesthesia followed by lumbar epidural analgesia (n = 20). Group T was administered general anesthesia combined...

BACKGROUND Severe preamputation pain is associated with phantom limb pain (PLP) development in limb amputees. We investigated whether optimized perioperative analgesia reduces PLP at 6-month follow-up. METHODS A total of 65 patients underwent lower-limb amputation and were assigned to five analgesic regimens: (1) Epi/Epi/Epi patients received perioperative epidural analgesia and epidural anes...

Background And Aims: The transversusabdominis plane block is a new rapidly expanding regional anesthesia technique that provide analgesia of Anterior abdominal wall surgeries. TransversusAbdomimis Plane block significantly reduces pain associated with lower abdominal surgeries. It may be used as primary anesthesia or Post operative analgesia.The present study aims to “Comparative study of 0.2% ...

BACKGROUND Postoperative pain is often severe after hallux valgus repair. Sciatic nerve blocks with long-acting local anesthetics have been recommended for surgical anesthesia and postoperative analgesia. However, a novel percutaneous approach may require less analgesia and make the procedure suitable for ambulatory care. We thus tested the hypothesis that mid-foot block and sciatic nerve block...

Background: Experience of awareness and recall during general anesthesia can be very distressing for patients. There is no doubt that surgery pain is the most distressing feature of awareness. This condition can cause neurosis in patients. If patient be aware during surgery and be able to hear some comment, she or he senses weakness, paralysis, feeling of helpless and anxiety, panic and death. ...

Analgesic options for surgical abortion (also called procedural abortion) beyond local anesthesia and minimal sedation include moderate sedation, deep general anesthesia. These clinical recommendations review the effectiveness of various regimens pain control during abortion; medication used to induce analgesia anesthesia; patient factors affecting safety; preoperative intraoperative protocols ...

background: accidental dural puncture during epidural blockade is a rare complication. since postdural puncture headache (pdph) is the most frequent complication, a wisely management method will also reduce the incidence of pdph. methods: five patients who had inadvertent dural puncture during the epidural procedure before hip or knee arthroplasty were included in this study. after dural punctu...

in a randomized, double blind study , we compared post operative pain and analgesic requirement in patients undergoing cesarean section with two types of general anesthesia: standardized general anesthesia (control group=26 cases) and preemptive low-dose ketamine (0.2 mg/kg) administered prior to anesthesia induction (keratmine group=27 cases). postoperative analgesia was provided for both grou...