background: morphine and lidocaine are known to influence the perception of pain. the present study sought to determine the influence of local administration of morphine on lidocaine-induced analgesia in morphine non-dependent (mnd), morphine dependent (md) and morphine withdrawal (mw) animals. methods: adult male wistar rats were divided into four groups: control, mnd, md and mw rats. lidocain...

Repeated trials with cold-pressor pain were used to (a) determine whether the modest relation between hypnotic susceptibility and response to acupuncture analgesia obtained in previous experiments is enhanced over a series of treatments; (b) compare acupuncture and hypnotic analgesias; and (c) assess whether acupuncture analgesia increases with repeated treatments. Twenty high and 20 low hypnot...

For labor pain management epidural analgesia is a popular and an effective method. Difficult removal of epidural catheters occasionally occurs, and several maneuvers have been recommended. The purpose of this article is to raise awareness of the problem of retained epidural catheter fragments and identify the potential impact of complications.

OBJECTIVES To ascertain if the use of a structured pain assessment tool and nurse initiated oral analgesia protocols improve uptake and time to analgesia for children presenting to the emergency department with minor or moderate musculoskeletal injuries. METHODS Three groups of children with peripheral limb injuries were examined to identify the rates of analgesia provision and time from atte...

The authors performed a meta-analysis and found that epidural analgesia overall provided superior postoperative analgesia compared with intravenous patient-controlled analgesia. For all types of surgery and pain assessments, all forms of epidural analgesia (both continuous epidural infusion and patient-controlled epidural analgesia) provided significantly superior postoperative analgesia compar...

background and purpose: this study was designed in order to compare the effects of spinal and epidural analgesia on labour and also several maternal and fetal factors in vaginal delivery. materials and methods: the study was a randomized clinical trail and participatnts were 120 gravid 1 and gravid 2 women in the active phase of delivery, admitted to the labour room of fatemieh hospital in hame...

  Purpose: Patients may control postoperative pain by self-administration of intravenous opioids   using devices designed for this purpose (patient controlled analgesia or PCA). This study set out   to determine whether any of the two opioid administrations (i.e. PCA or conventional analgesia)   would provide superior pain relief among patients undergoing laparoscopic cholecystectomy   or not. ...

  Purpose: Patients may control postoperative pain by self-administration of intravenous opioids   using devices designed for this purpose (patient controlled analgesia or PCA). This study set out   to determine whether any of the two opioid administrations (i.e. PCA or conventional analgesia)   would provide superior pain relief among patients undergoing laparoscopic cholecystectomy   or not. ...

conclusions the addition of s (+)-ketamine or clonidine to levobupivacaine 0.25% in caudal analgesia for hypospadias repair appears to be of no benefit. however, use of the additives in combination increased postoperative sedation. results the 87 patients included had a mean ± sd age of 21.4 ± 13.5 months and weight of 11.9 ± 2.4 kg. the median doses of levobupivacaine, s (+)-ketamine, and clon...

Pain may contribute to cognitive decline, which is a common complication in the early postoperative period. We compared the effects of two common pain management techniques, intravenous patient-controlled analgesia (PCA-IV) and patient-controlled epidural analgesia (PCEA), on cognitive functioning in the immediate postoperative period. Patients hospitalized for elective surgery were randomly as...