Video-assisted thoracoscopic surgery (VATS), apical blebectomy and chemical pleurodesis are often combined to prevent recurrence of spontaneous pneumothorax [1,2]. Postoperative pain arising from above procedures can be severe, leading to increased length of stay [2,3]. Effective analgesia in the immediate post-operative period is necessary for optimal recovery, and satisfactory postoperative p...

Background: Adjuvants to local anesthetics have been used prolong the duration of analgesia after brachial plexus block surgery. This study evaluates effects adding magnesium sulfate and fentanyl with ropivacaine in supraclavicular analgesia. Aims Objectives: The aim present was compare onset sensory motor blockade quality perioperative post-operative side if any, provided by as adjuvants block...

INTRODUCTION Epidural analgesia has become the most popular method for labor pain relief. Analgesia in Labor: Yes or No? Labor pain is a complex phenomenon with sensory, cognitive, motivational, emotional, social, and cultural variables. Pain and anxiety lead to adrenergic hyperactivity, hyperventilation, hypocapnia with reduced uteroplacental blood flow and uncoordinated uterine activity, so p...

1 Boselli E, Bouvet L, Bégou G, et al. Prediction of immediate post-operative pain using the analgesia/nociception index: a prospective observational study. Prospective observational study of the non-invasive assessment of immediate postoperative pain using the analgesia/nociception index (ANI). Pupillary reflex dilatation and analgesia nociception index monitoring to assess the effectiveness o...

OBJECTIVE To compare a combination of epidural fentanyl and bupivacaine with bupivacaine alone for epidural analgesia in labour and to evaluate factors in addition to analgesia that may influence maternal satisfaction. DESIGN A prospective randomised pilot study. SETTING Birmingham Maternity Hospital. SUBJECTS 85 primiparous women who requested epidural analgesia in labour and their babie...

BACKGROUND Spinal anesthesia is widely used for caesarean section. Addition of intrathecal magnesium sulfate to local anesthetics seems to improve the quality of block and prolong the duration of analgesia. OBJECTIVES The present study was designed to examine whether addition of intrathecal magnesium sulfate enhances the analgesic efficacy of intrathecal bupivacaine in patients undergoing ces...

OBJECTIVE Total knee arthroplasty (TKA) is associated with considerable postoperative pain. We compared the effects of intraoperative intraarticular levobupivacaine and bupivacaine on postoperative analgesia and analgesic consumption after total knee arthroplasty. METHODS Sixty ASA (American Society of Anesthesiologists) physical status II-III, 18-75 years old patients scheduled for unilatera...

The effects of regional intravenous analgesia in the upper limb were studied in eight subjects by means of clinical examination and serial nerve conduction techniques. The changes following 1 per cent lignocaine analgesia and ischaemia were compared with those following ischaemia alone; the latter produced analgesia and impairment of conduction at a considerably slower rate than it did when com...