Editor’s key points † Postoperative nausea and vomiting along with pain are among the major perioperative concerns of most surgical patients and their anaesthetists. † Multimodal approaches to both PONV and pain have been shown to improve treatment efficacy and reduce side-effects for high-risk patients undergoing surgical procedures. † These approaches integrate both pharmacological and non-ph...

The perioperative management of post-craniotomy pain is controversial. Although the concept of pain control in non-neurosurgical fields has grown substantially, the understanding of neurosurgical pain and its causative factors in such a population is inconclusive. In fact, the organ that is the center of pain and its related mechanisms receives little attention to alleviate distress during neur...

BACKGROUND Various interventions are available for the treatment of chronic low back pain (LBP), including Manual Therapy and Cognitive Behavioural Therapy (CBT). The purpose of this study is to evaluate whether the addition of an internet-based CBT program leads to better outcomes in patients who are treated with multimodal manual therapy for chronic LBP. METHODS/DESIGN A randomized controll...

Introduction: Patient-controlled analgesia (PCA) with intravenous opioids is a more efficient method to achieve better postoperative analgesia. This study aims describe the use of patient-control in post-hysterectomy patients.
 Case presentation: There were two total hysterectomy patients who used PCA as pain management. Postoperatively, first patient has given paracetamol tablets 500 mg e...

BACKGROUD The main advantage of laparoscopic surgery is that it is minimally invasive because of the use of small incisions. An approach using small incisions offers many benefits including attenuation of surgical wound pain. However, the presence of postoperative pain may undermine the advantages of laparoscopic surgery as a minimally invasive technique. In addition, perioperative pain managem...

The American Academy of Pain Medicine and the American Society for Regional Anesthesia have recently focused on the evolving practice of acute pain medicine. There is increasing recognition that the scope and practice of acute pain therapies must extend beyond the subacute pain phase to include pre-pain and pre-intervention risk stratification, resident and fellow education in regional anesthes...

Purpose of Review The aim of this review is to help ophthalmologists and other clinicians understand and treat ocular neuropathic pain. Recent Findings Advances in the field of neurophysiology of ocular sensations explain why some cases of dry eye may represent a pain syndrome rather than a problem related to tear status. Principles related to management of pain syndromes such as persistent p...

Intravenous (IV) nonsteroidal anti-inflammatory drugs such as IV ibuprofen are increasingly used as a component of multimodal pain management in the inpatient and outpatient settings. The safety of IV ibuprofen as assessed in ten sponsored clinical studies is presented in this analysis. Overall, 1,752 adult patients have been included in safety and efficacy trials over 11 years; 1,220 of these ...

Breakthrough cancer pain is defined as transient pain exacerbation in patients with stable and controlled basal pain. Although variable, the prevalence of breakthrough cancer pain is high (33%-95%). According to the American Pain Foundation, breakthrough pain is observed in 50%-90% of all hospitalized cancer patients, in 89% of all patients admitted to homes for the elderly and terminal-patient...