Postoperative pain management aims not only to decrease pain intensity but also to increase patient comfort and to improve postoperative outcome. Better pain control is achieved through a multimodal combination of regional analgesic techniques and systemic administration of analgesic agents. To guarantee uneventful follow-up and unnecessary prolongation of hospital stay, it is important to avoi...

BACKGROUND Postoperative abdominal and shoulder pain are the most common complaints after elective laparoscopic cholecystectomy. Postoperative pain is multifactorial in origin, and therefore multimodal therapy may be needed to optimize pain relief. METHODS We conducted a double-blind study where patients were randomly allocated to 1 of 5 groups of 20 patients each. Statistical significance wa...

The parietal component of pain occupies an important place in the management postoperative analgesia. Parietal infiltration is a technique that fits into concept multimodal analgesia using several analgesic products simultaneously. This simple and reliable makes it possible to reduce use opioids therefore their adverse effects; without increasing risk infection. It reduces length hospitalization.

background: pain control after traumatic maxillofacial surgery due to severity of pain and limitations of opioids use in these patients is of particular importance. the aim of this study was to evaluate the multimodal analgesic effect of oral gabapentin and intramuscular ketorolac in combination with intravenous acetaminophen for pain control after remifentanyl infusion in this surgery. methods...

Chronic low back pain (LBP) places a tremendous economic burden on society due to both direct and indirect costs. Health care costs for adults with chronic LBP have steadily increased over the past 20 years, coinciding with a large increase in the utilization of spinal injections, surgical interventions, opioid medications, and physical therapy. The treatment of LBP is best approached by a mult...

The diagnosis and management of complex regional pain syndrome is often challenging. Early diagnosis and intervention improve outcomes in most patients; however, some patients will progress regardless of intervention. Multidisciplinary management facilitates care in complex cases. The onset of signs and symptoms may be obvious or insidious; temporal delay is a frequent occurrence. Difficulty sl...

Conventional analgesics have limited efficacy in the management of neuropathic pain. An adjuvant analgesic is a drug that has a primary nonpain indication but which may be analgesic in certain circumstances, and many of these have established a role in the pharmacological treatment of neuropathic pain. The number needed to treat is an indirect statistical measure that can be used to compare rel...

Coping with Pain Opioids in Cancer Pain Prescription Opioid Abuse Clinicians working with patients with chronic cancer-related pain are familiar with the experience of pain having both somatic sensory and psychological components. With adequate pain management, we often see a lessening of anxiety and a return to emotional equilibrium, which allows patients to process the loss inherent in the ca...

A multimodal stepped care approach has been successfully applied to a patient with complex regional pain syndrome type 1 and severe intractable pain, not responding to regular neuropathic pain medication. The choice to administer drugs in creams was made because of the intolerable adverse effects to oral medication. With this method, peak-dose adverse effects did not occur. The multimodal stepp...

J.VET.DENT. Vol. 23 No. 1 March 2006 Pain involves a myriad of physiochemical responses leading to the perception of an unpleasant sensation arising from tissue damage. An understanding of the terminology and basic neurophysiology involved with the pain process is helpful in preventing and treating discomfort in our patients. A general understanding of the concepts of nociception, peripheral se...