Peripheral nerve blocks have become a gold standard for anesthesia and postoperative analgesia in limb girdle surgeries due to the feeling of security, simplicity locoregional anesthesia, absence certain adverse effects when general especially quality analgesia. However, has risk.We present two case reports peripheral neuropathy after involving lumbar plexus median nerve.We discuss through lite...

OBJECTIVE A substantial reduction in lung volumes and pulmonary function follows cardiac surgery. Pain may prevent effective breathing and coughing, and as thoracic epidural analgesia may reduce postoperative pain, we investigated the effect of epidural analgesia on pulmonary function. METHODS Fifty-four male patients, under 65 years and with an ejection fraction of more than 0.5, were random...

BACKGROUND Continuous regional analgesia (CRA) is considered a safe and efficacious technique for postoperative pain relief in children after lower limb surgery. We recently evaluated the feasibility of patient-controlled regional analgesia (PCRA) in a similar acute pain situation and we concluded that PCRA might be advantageous over CRA in terms of lower costs, risk of systemic toxicity while ...

BACKGROUND Various options are available for the provision of analgesia following major surgical procedures including systemic opioids and regional anesthetic techniques. Regional anesthetic techniques offer the advantage of providing analgesia while avoiding the deleterious adverse effects associated with opioids including nausea, vomiting, sedation and respiratory depression. Although used co...

T WO factors have increased interest in ketamine for postoperative analgesia. The first was the discovery of the N-Methyl-D-asparrate (NMDA) receptor and its role in central pain processing and spinal cord neural plasticity. 1 Ketamine is one of two clinically useful NMDA receptor antagonists available (the other is dextromethorphan). Ketamine binds non-competitively to the PCI, (phencyclidine)...

P OSTOPERATIVE pain, by its very nature, is unpleasant for patients and can prolong their recovery. Although it provokes a variety of autonomic responses that are likely to be harmful, pain by definition is subjective. In conscious subjects, pain is thus best evaluated simply by asking. And of course this is the routine clinical approach in which visual analog or verbal response scores are used...

All patients undergoing bowel resection experience postoperative ileus, a transient cessation of bowel motility that prevents effective transit of intestinal contents or tolerance of oral intake, to varying degrees. An anesthesiologist plays a critical role, not only in the initiation of surgical anesthesia, but also with the selection and transition to effective postoperative analgesia regimen...

Multimodal Management Of Acute Pain: The Role of IV NSAIDs A cute pain is common in hospitalized patients, particularly in postoperative patients. In fact, postoperative pain often is undertreated and is associated with poor outcomes, higher costs of care, poor patient satisfaction, and an increased risk for developing chronic pain syndromes. The failure to treat postoperative pain adequately i...

In critically ill neonates and infants, major interventions, including thoracotomy, may result in significant postoperative respiratory insufficiency and pain leading to the need for postoperative mechanical ventilation. Although there are many potential options for providing postoperative analgesia, there continues to be expanding use of regional anesthesia in this population. One of the many ...