Introduction Safe and effective sedation analgesia in children’s critical care is a complex area of medicines use. Analgesia are needed to treat any pain during stay, also facilitate the delivery invasive interventions such as mechanical ventilation intravenous access devices. Strong opioids group often used achieve good relief. In adult care, alfentanyl has become opioid choice it reduces leng...

Surgical anesthesia is intended to render the patient insensitive to pain. In a typical clinical procedure, known as balanced anesthesia, the patient is premedicated with a sedative intended to relieve preoperative anxiety and facilitate the induction of anesthesia itself. Often this premedication is a benzodiazepine such as diazepam or midazolam; otherwise, a barbiturate such as thiopental or ...

The main aim of this review is to let general practitioners and physicians understand what happens to older patients after referral to the renal service. Usually, most patients will be managed completely by the renal team, either because the patient requires dialysis or because conservative but specialised care is appropriate. The recent increase in dialysis rate can mostly be accounted for by ...

INTRODUCTION Dorsal penile nerve block (DPNB) is a commonly performed regional anesthetic technique for male circumcision. The aim of this study was to assess the analgesic effect of the adjunction of clonidine to bupivacaine 0.5% in this block. METHODS It was a prospective randomized double-blind clinical trial including 40 ASA1 boys aged from 1 to 4 years undergoing elective circumcision. D...

I read the paper by Imani et al. (1) with interest and must congratulate them in attempting to show the advantages of administering remifentanil for laryngoscopy and tracheal intubation in adult patients. It was interesting to know the experiences of colleagues with regard to tracheal intubation in noncardiac patients, as I use a combination of remifentanil and propofol in my daily practice in ...

I read with interest the article by Mogadam et al. (1) in which the authors have compared the analgesic efficacy of gabapentin and diclofenac in patients undergoing tonsillectomy. They concluded that both gabapentin and diclofenac reduced postoperative pain and opioid consumption without side effects. Four additional points deserve commentary and clarification. Gabapentin is being increasingly ...