Twenty-one patients for vagotomy with gastroenterostomy or pyloroplasty were allocated randomly to postoperative analgesia with either morphine by injection or continuous extradural nerve block. In terms of clinical assessment and A-a Po3 difference measured before and after operation, extradural nerve block was found to reduce the degree of postoperative lung dysfunction. It is concluded that ...

BACKGROUND Adverse effects may still limit the use of continuous epidural and intravenous analgesia in surgical wards. This study postulated that postoperative epidural analgesia was more efficient, and had fewer side-effects than intravenous morphine. The aim was to investigate efficacy, adverse effects and safety of the treatments in a large patient population. METHODS During a five-year pe...

narcotics, have been utilized in the postoperative period in an attempt to provide adequate analgesia. Patients undergoing intrathoracic or intraabdominal procedures or both have been treated with intercostal block therapy, transcutaneous electrical nerve stiinulation, or cryotherapy. Spinal narcotics and patientcontrolled narcotic analgesia have also been used to treat postoperative pain. Each...

There is experimental evidence that nimodipine, an L-type dihydropiridine calcium channel blocker with relatively high blood-brain barrier penetration, enhances the antinociceptive properties of morphine. We tested the hypothesis that oral nimodipine taken preoperatively and 6 hourly for 48 h postoperatively would reduce visual analog scale pain scores and morphine consumption in morphine-naive...

T he anesthesiologist has a central role in the management of acute postoperative pain, and effective management has been clearly demonstrated to improve clinical outcomes (1,2). Acute pain can rapidly evolve into chronic pain, and the two should not be viewed as separate entities (3). Failure to achieve effective analgesia is a major predictive factor for the conversion of acute postoperative ...

OBJECTIVE Ibuprofen and pregabalin both have independent positive effects on postoperative pain. The aim of the study is researching effect of 800 mg i.v. ibuprofen in addition to preoperative single dose pregabalin on postoperative analgesia and morphine consumption in posterior lumbar interbody fusion surgery. MATERIALS AND METHODS 42 adult ASA I-II physical status patients received 150 mg ...

BACKGROUND Intravenous fentanyl has been used for acute postoperative pain management, but has not always provided reliable adequate analgesia, including patient-controlled analgesia (PCA). The purpose of this study was to investigate the efficacy of time-scheduled decremental infusion of fentanyl for postoperative analgesia. METHODS Ninety-nine patients, aged 20-65 years, undergoing laparosc...

background: the effect of ilioinguinal and iliohypogastric (ii-ih) nerve block on postoperative pain is well documented when performed before caesarean section (cs) but the efficacy remains unclear when performed after the surgical procedure. the aim of this study is to investigate the effect of ii-ih nerve block on postoperative pain and analgesic consumption in patients when performed after c...