Objective: To compare the efficacy of supraclavicular brachial plexus block with patient-controlled intravenous analgesia (PCIA) for post-operative pain management in forearm surgery.
 Study Design: Comparative Cross-Sectional Study.
 Place and Duration Study: Department Anesthesia, Combined Military Hospital, Kharian Pakistan, from Sep 2018 to Nov 2019.
 Methodology: Eighty-two ...

OBJECTIVE To develop recommendations, based on best evidence and experience, on pain management in patients undertaking total knee or hip replacement. METHODS Nominal group methodology was followed. A group of experts was selected (5 orthopedics, 1 anesthesiologist), who defined the scope, users, topics, preliminary recommendations, and 3 systematic reviews: efficacy and safety of pre-surgica...

OBJECTIVE The purpose of this study was to compare the clinical efficacy of articaine at 4% (epinephrine 1:100,000) with bupivacaine at 0.5% (epinephrine 1:200,000) for surgical extraction of impacted mandibular third molars. STUDY DESIGN This was a randomized, double blind, split-mouth, clinical trial. Thirty-six patients took part and underwent extraction of 72 lower third molars. The varia...

BACKGROUND Post-operative cognitive impairment is common in elderly patients following surgery for hip fracture, with undertreated pain being an important etiological factor. Non-opioid based analgesic techniques, such as nerve blocks, may help reduce the risk of cognitive complications. The aim of this study was to investigate whether receiving a fascia iliaca compartment block (FICB) as part ...

This study was designed to compare the intra-operative and post-operative analgesic requirements and side effects of using fentanyl infusion versus remifentanil infusion during short-duration surgical procedures in children. The study comprised of 40 children randomly allocated into two equal groups: fentanyl (F-group) or remifentanil (R-group). Both were administered a continuous intravenous (...

objective : double aortic arch (daa) is a rare congenital malformation. strategies for diagnosis and treatment are different. thoracoscopic treatment of daa is limited to case reports or little case series. we report a description of our diagnostic and therapeutic approach and evaluate outcomes. methods: we reviewed charts of infants with double aortic arch who were hospitalized in our departme...

BACKGROUND Pain in infancy is a developmental process. Due to the underdeveloped pain pathways in the spinal cord, the threshold of stimulation and sensation of pain is low at birth and has potential impacts on increasing the central effects of pain. Primary trauma during infancy can cause long term changes in structure and function of pain pathways that continue until adulthood. Lack of pain m...

BACKGROUND Previous clinical studies have not examined the relationship between nicotine abstinence and opioid use for postoperative analgesia. This may be important because tobacco smokers are routinely required to abstain from smoking just before and during acute post-surgical recovery. This study investigated IV morphine self-administration [patient controlled analgesia (PCA)], subjective pa...