OBJECTIVE To examine the cost and efficacy of methods of general and regional anesthetic for postoperative pain control after open repair of intra-articular calcaneal fractures. We compared single-injection popliteal fossa blocks and continuous infusion popliteal fossa blocks with drug delivered through a catheter from an infusion pump (CPNB) to general or spinal anesthetic alone in terms of ho...

BACKGROUND March 2011 marked the 50th anniversary of the Single Convention on Narcotic Drugs. This legal instrument, the bedrock of the current United Nations based global drug control regime, is often viewed as merely a consolidating treaty bringing together the multilateral drug control agreements that preceded it; an erroneous position that does little to provide historical context for conte...

BACKGROUND Hip fractures have significant effects on the geriatric population and the health care system. Prior studies have demonstrated both the safety of intravenous (IV) acetaminophen and its efficacy in decreasing perioperative narcotic consumption. The purpose of this study is to evaluate the effect of scheduled IV acetaminophen for perioperative pain control on length of hospital stay, p...

BACKGROUND The purpose of this case series was to review the management of burn patients who requested ultrarapid opioid detoxification under anesthesia after extended duration of narcotic use for chronic pain related to burn injury. METHODS The treatment plan of six opioid-dependent burn patients was analyzed to assess the effectiveness of our detoxification practice to date. Demographic and...

AbstractThis research entitled “BNN authority in giving rehabilitation to narcotic addicts”, This study employs doctrinal method by using statute approach and conseptual approach. The purpose of this is analyze question study. There are two questions study, they are: (1) Does BNN have the give addicts?, (2) what’s basic consideration for addicts?. concludes that has derived a concept based on s...

OBJECTIVE We sought to determine whether a continuous regional infusion of a local anesthetic delivered to the operative site would result in decreased levels of postoperative pain and narcotic requirements for patients who undergo a standard median sternotomy for cardiac surgery. METHODS A double-blind, randomized, controlled trial was conducted at a single center. Patients who were undergoi...

Opioid analgesics are the most potent pain medications therefore they are often used for the treatment of chronic malignant and non‐malignant pain. Their strong addictive potential requires close monitoring of patients on opioid therapy for possible non‐compliance with prescriptions, for drug diversion, and for proof of avoidance of non‐prescribed or illicit opioids. Monitoring can be performed...

A prospective study was undertaken to evaluate the postoperative pain and analgesic profiles of a group of 50 patients undergoing outpatient anterior cruciate ligament (ACL) reconstruction and to compare their profiles with those of a group of 50 patients undergoing outpatient non-ACL arthroscopic surgery. All patients received preoperative and postoperative ketorolac, intraincisional/intra-art...

BACKGROUND The clinical treatment of various types of pain relies upon the use of opioid analgesics. However most of them produce, in addition to the analgesic effect, several side effects such as the development of dependence and addiction as well as sedation, dysphoria, and constipation. One solution to these problems are chimeric compounds in which the opioid pharmacophore is hybridized with...