The purpose of this study was to determine whether morphine would be as effective as bupivacaine for postoperative pain control after knee arthroscopy with no worsening of the side effect profile. Eighty-two patients who underwent partial meniscectomy, chondral debridement, or both were prospectively randomized to receive 10 mg of morphine (10-cc volume) or 10 cc of .5% bupivacaine immediately ...

UNLABELLED We enrolled 120 children undergoing bilateral myringotomy and tube placement in this prospective, randomized, observer-blinded study. Patients were randomized into one of four groups: Group 1 (control) was plain acetaminophen 10 mg/kg orally, Group 2 was acetaminophen 10 mg/kg with 1 mg/kg of codeine orally, Group 3 was transnasal butorphanol 25 micro g/kg given immediately after the...

OVER the past decade, the percentage of surgical procedures being performed in outpatient centers has increased. In response, outpatient anesthetic practice and research have focused on providing anesthetics that minimize symptoms (e.g., nausea and vomiting) in the postanesthesia care unit and hasten time to discharge. Much effort has been placed on development of newer agents with a more favor...

A computer-based nursing process documentation system was developed through NNN Linkage to create standardized nursing care plans and nursing records. The nursing care plan was developed by linking the nursing diagnosis, desired nursing outcome and suggested nursing intervention based on NNN linkage. The fetched sentences linked with each nursing activity supports nursing documentation. The mai...

background & aim: the four elements of the nursing meta-paradigm, namely, human, health, environment, and nursing have attracted much attention in the west for years. this study redefined the meta-paradigm or core concepts of nursing from the perspective of islam . methods & materials: a qualitative content analysis was used to collect and analyze data. data collection were based on in-depth se...

UNLABELLED Because an oral formulation of midazolam is not approved in certain countries, we evaluated oral alprazolam as an alternative. Forty-five outpatients scheduled for gynecological laparoscopic surgery participated in a double-blinded study to compare the effectiveness and side effects of oral alprazolam 0.5 mg with midazolam 7.5 mg, as a reference drug, and placebo. We evaluated psycho...

BACKGROUND To support safe and effective use of propofol in nonventilated children after major surgery, a model for propofol pharmacokinetics and pharmacodynamics is described. METHODS After craniofacial surgery, 22 of the 44 evaluated infants (aged 3-17 months) in the pediatric intensive care unit received propofol (2-4 mg . kg-1 . h-1) during a median of 12.5 h, based on the COMFORT-Behavio...

OBJECTIVES/HYPOTHESIS To evaluate the effect of intraoperative acupuncture on posttonsillectomy pain in the pediatric population. STUDY DESIGN Prospective, double-blind, randomized, placebo-controlled trial. METHODS Patients aged 3 to 12 years undergoing tonsillectomy were recruited at a tertiary children's hospital between February 2011 and May 2012. Participants were block-randomized to r...

BACKGROUND The purpose of this study was to determine whether either regional anesthesia (RA) or general anesthesia (GA) provided the best analgesia with the fewest adverse effects up to 2 weeks after ambulatory hand surgery. METHODS Patients undergoing ambulatory hand surgery were randomly assigned to RA (axillary brachial plexus block; n = 50) or GA (n = 50). Before surgery, all patients ra...

introduction. with constant changes in health care it is imperative that nursing education programs themselves act as agents of change. nursing education has the responsibility to produce nursing professionals and expert practitioners to shape the nursing practice not merely respond to changes in the practice environment. it must prepare nurses who can participate as full partners in health car...