The optimal form of post-operative analgesia in hip and knee arthroplasty is still debated. Traditionally, patient-controlled analgesia and epidural anaesthesia were used. Potential side-effects such as nausea, confusion, urinary retention, hypotension and immobility have resulted in the emergence of newer techniques that limit opioid use. Peripheral nerve blockade provides excellent analgesia ...

Pain is one of the most distressing post-operative consequences of surgeries. Opioids have been the mainstay in providing pain relief. Morphine is the considered to be the “gold standard” amongst opioids as an analgesic. Nalbuphine, a synthetic opioid agonist/antagonist has analgesic potency almost equivalent to that of morphine on a milligram basis and fewer complications like respiratory depr...

BACKGROUND AND AIMS Paravertebral block, pectoral nerve (Pecs) block and wound infiltration are three modalities for post-operative analgesia following breast surgery. This study compares the analgesic efficacy of these techniques for post-operative analgesia. METHODS Sixty-five patients with American Society of Anesthesiologists' physical status 1 or 2 undergoing modified radical mastectomy ...

This study was conducted to compare post operative analgesia and side effects of intrathecal neostigmine with two different doses of 75 μgms and 50 μgms with bupivacaine heavy 0.5 %( 15mg). 90 patients of ASA grade I and II were randomly selected from a routine list of general surgery, plastic surgery, gynaecology and orthopaedic units of the hospital under spinal anaesthesia were randomly allo...

Post operative pain is very unpleasant. Adequate analgesia during post operative period gives good patient satisfaction. To assess the adequacy of post operative analgesia in patients undergoing caesarean section. This prospective study was carried out in Lumbini Medical College, Palpa in the year, and April 2011 to October 2011. A total of 60 caesarean section cases of ASA grading I or II were...

Background And Aims: The transversusabdominis plane block is a new rapidly expanding regional anesthesia technique that provide analgesia of Anterior abdominal wall surgeries. TransversusAbdomimis Plane block significantly reduces pain associated with lower abdominal surgeries. It may be used as primary anesthesia or Post operative analgesia.The present study aims to “Comparative study of 0.2% ...

BACKGROUND Achieving post operative pain management is difficult with the use of only opioids analgesia. Multimodal pain management is a method to improve post operative analgesia with minimal side effects. Pregabalin has an analgesic and opioids sparing effects in post operative analgesia. OBJECTIVE The objective of the present study was to evaluate the effect of premedication with pregabali...