Fifty patients undergoing thoracotomy was studied to compare the effects of cryoanalgesia combined with intravenous continuous analgesia (IVCA). Patients were randomized into two groups: IVCA group and IVCA-cryo group. Subjective pain intensity was assessed on a visual analogue scale at rest (VAS-R) and during movement (VAS-M). Analgesic requirements were evaluated over the 7 days following sur...

AIM The aim of this study was to evaluate patient satisfaction and cost in spinal and general anesthesia for lumbar disc surgery. MATERIAL AND METHODS The study was performed on 66 ASA class I-II patients with one level lumbar disc herniation (LDH). In this prospective study, patients were assigned randomly to either spinal anesthesia or general anesthesia groups. Hemodynamic variables, intra...

BIOBRANE HAS BECOME AN INDISPENSIBLE DRESSING WITH THREE ESTABLISHED INDICATIONS IN ACUTE BURNS CARE AT OUR INSTITUTION: (1) as the definitive dressing of superficial partial thickness facial burns, (2) after tangential excision of deep burns when autograft or cadaver skin is unavailable, and (3) for graft reduction. This paper details our initial experience of Biobrane for the management of su...

opium is one of the oldest herbal medicines currently used as an analgesic, sedative and antidiarrheal treatment. the effects of opium are principally mediated by the μ -,κ- and δ-opioid receptors. opioid substances consist of all natural and synthetic alkaloids that are derived from opium. most of their effects on gastrointestinal motility and secretion result from suppression of neural activi...

conclusions we conclude that volume of residual pneumoperitoneum is a contributing factor in the etiology of postoperative pain after laparoscopic cholecystectomy. results at the end of the study, 17 patients (30.9%) had no residual pneumoperitoneum after 24 hours; which 23 (41.81%) had mild residual pneumoperitoneum, eight (14.54%) had moderate pneumoperitoneum and seven (12.72%) had severe pn...

BACKGROUND Many clinical and experimental studies have suggested that diabetes or hyperglycemia alter opioid responsiveness. However, little information is available on the effects of diabetes mellitus on opioid requirements in the postoperative period. METHODS Sixty-four patients scheduled for elective, total abdominal hysterectomy were included into this prospective study to evaluate the ef...

OBJECTIVE The aim of this study was to compare the postoperative analgesic efficacy of preincisional and intraperitoneal levobupivacaine or normal saline in patients undergoing laparoscopic cholecystectomy. METHODS Sixty patients who participated in the study were randomly divided into 3 groups. Group 1 received intraperitoneal levobupivacaine (0.25% 40 mL) immediately after the pneumoperiton...

BACKGROUND Postoperative analgesia with the use of parenteral opioids or epidural analgesia can be associated with troublesome side effects. Good perioperative analgesia facilitates rehabilitation, improves patient satisfaction, and may reduce the hospital stay. We investigated the analgesic effect of locally injected drugs around a total knee prosthesis. METHODS Sixty-four patients undergoin...

conclusions intravenous magnesium reduces postoperative ileus, postoperative severe pain and intra/post operative analgesic requirements in patients after major gi surgery. no side effects of magnesium in these doses were seen, so it seems to be beneficial along with routine general anesthesia in major gi surgeries. patients and methods a randomized, double blind, placebo controlled study was p...