introduction: optimum pain management immediately after surgeries can lower the possibility of pain syndrome and its following consequences. opioids are amongst the analgesics used for postoperative pain control; however, their application can bring about several adverse effects. in this study, all the published articles regarding efficacy of paracetamol   in post-cardiac surgery pain managemen...

Background: Shoulder arthroscopy is associated with severe post-operative pain, which causes significant discomfort to the patient, interfering recovery and rehabilitation. The aim of this work was compare efficacy intra post operative analgesia inter-scalene block (ISB), shoulder (SHB) suprascapular nerve (SSNB) for arthroscopic surgeries. Methods: This prospective randomized controlled double...

Background: Patient-controlled analgesia (PCA) has been advocated as superior to conventional controlled analgesia with less risk to patients in cardiac surgery. In this double-blinded, randomized controlled trial, we tested whether the addition of Tramadol to morphine for patient-controlled analgesia (PCA) resulted in improved analgesia efficacy and smaller morphine requirements compared with ...

Background & Objectives: Caudal epidural and dorsal nerve penile blockade are commonly used for analgesia during after hypospadias repair in children. Comparative studies to recommend the most effective block dearth. This study aims compare versus caudal with bupivacaine children terms of post-operative effectiveness, pain management, complications. Methodology: The was conducted on 60 male...

BACKGROUND AND OBJECTIVES Total knee arthroplasty often results in marked postoperative pain. A recent meta-analysis supports the use of femoral nerve block or alternatively spinal injection of morphine plus local anaesthetic for post-operative analgesia. On the other hand, the use of intrathecal morphine may be associated with a large number of distressing side effects (itching, urinary retent...

Implication for health policy/practice/research/medical education: Due to expertise of anesthesiologists in analgesics pharmacology, epidural and peripheral nerve blockade, they have pioneered in the postoperative pain management. Reading this article is beneficial for physicians, interventional pain managers and who care about pain medicine. The practice of modern anesthesiology has been devel...

We prospectively studied the post-operative recovery profile of 28 ex-premature infants undergoing inguinal herniotomy. All infants had a post-conceptual age of less than 46 weeks at the time of surgery and were randomized to receive either sevoflurane (group 1, 14 patients) or spinal anaesthesia (group 2, 14 patients). All patients received supplemental caudal analgesia before skin incision. C...

In lower leg surgeries involving fractures of distal tibia, ankle surgeries, debridement and PVD choice anesthesia is usually regional anesthesia. When these patients are associated with co-morbid cardio-respiratory problems then it will become challenge for anesthesiologist to maintain homeostasis good surgical Ayukut urfalioglu suggested another alternative technique in the form Adductor cana...