BACKGROUND Caudal analgesia is commonly employed to provide excellent intra- and postoperative analgesia for primary hypospadias repair in children. Several additives to local anesthetics are commonly employed to increase the block duration, although these have uncertain benefits. OBJECTIVES This study investigated whether, in caudal analgesia with levobupivacaine 0.25%, the addition of S (+)...

OBJECTIVES To evaluate patient attitudes about epidural services in labour and correlate them with patient options and actual usage of epidural analgesia. DESIGN Questionnaire survey. SETTING Eight Hospital Authority obstetrics units. PARTICIPANTS A cohort of new antenatal patients and a cohort of postnatal in-patients over 1 calendar month. MAIN OUTCOME MEASURES Antenatal patient aware...

Labor pain is one of the most severe pains. Labor is a complex and individual process with varying maternal requesting analgesia. Labor analgesia must be safe and accompanied by minimal amount of unwanted consequences for both the mother and the child, as well as for the delivery procedure. Epidural analgesia is the treatment that best meets these demands. According to the American Congress of ...

background gabapentin is an anticonvulsant that has postoperative analgesic effects but there are limited studies on its postoperative administration. objectives the present study was conducted to evaluate the effect of the postoperative oral gabapentin on pain and morphine consumption. patients and methods in a double blind, randomized study, 64 patients undergoing internal fixation of tibia u...

background: intrauterine device (iud) is an effective and long term method of contraception that can be used without continued effort by the user to prevent pregnancy perfectly. pain during iud insertion is one of the obstacles to properly using the device. thus, using different methods of analgesia and anesthesia to alleviate this pain has been studied by many researchers. this review article ...

in traditional medicine,some plants have been used as analysics.the aim of this investigation was to evaluate the analgesic effect of two plants,piper nigrum and Zingiber officinale that are used  traditionally to relieve headache,rheumatic arthritis,and toothache.for this purpose the methanolic extract of zingiber and piper nigrum,in different doses,were injected intraperitonealy to mice and t...

conclusions the ops is a good stand-alone pain score and is better than the nrs for defining mild and moderate pain. it may even be used to supplement nrs when it is indicative of mild or moderate pain. patient and methods a total of 1021 paired readings of the ops and nrs of 93 patients who underwent laparotomy and used patient-controlled analgesia were evaluated. acute pain service (aps) pers...

The report in this issue by Wood et aL I chronicles the development of a paediatric epidural analgesia programme at Alberta Children's Hospital. In these authors' experience, epidural analgesia was associated with good analgesia and safety, though with a considerable incidence of side effects and technical difficulties. Readers should not be put off by the quoted incidence of "complications"; m...

BACKGROUND Opioid-based postsurgical analgesia exposes patients undergoing laparoscopic colectomy to elevated risk for gastrointestinal motility problems and other opioid-related adverse events (ORAEs). The purpose of our research was to investigate postsurgical outcomes, including opioid consumption, hospital length of stay, and ORAE risk associated with a multimodal analgesia regimen, employi...

Although most randomized clinical trials conclude that the addition of continuous peripheral nerve blockade (CPNB) decreases postoperative pain and opioidrelated side effects when compared with opioids, studies have included relatively small numbers of patients and the majority failed to show statistical significance during all time periods for reduced pain or side effects. We identified studie...