BACKGROUND AND OBJECTIVES The Analgesia Nociception Index is an index used to measure the levels of pain, sympathetic system activity and heart rate variability during general anesthesia. In our study, Analgesia Nociception Index monitoring in two groups who had undergone spinal stabilization surgery and were administered propofol-remifentanil (Total Intravenous Anesthesia) and sevoflurane-remi...

The Patient  Superior analgesia: Numerous studies and case reports1-8 have demonstrated that, when compared to general anesthesia with volatile agents (GAVA) and intravenous opioids for postoperative analgesia, the application of regional anesthetic based techniques resulted in significantly lower pain scores both in the inpatient and outpatient settings. Improved and/ or complete analgesia tr...

The study was conducted to assess & compare the effect of pretreatment with intravenous Dexmedetomidine and Magnesium sulphate on characteristics SAB hyperbaric bupivacaine. 80 ASA grade I II patients (age: 18-60 years) scheduled for infraumblical surgery under spinal anesthesia were included randomly divided into group-D (dexmedetomidine 1μ gm/kg) group-M (magnesium sulfate 50 mg/kg). give...

Non-steroidal anti-inflammatory drugs are an essential component of postoperative multimodal analgesia. Their analgesic efficacy has been confirmed by data from evidence-based medicine. The appearance intravenous form ibuprofen on the Russian pharmaceutical market expands possibilities using NSAIDs in pain managment schemes. Ibuprofen characterized a high potential and optimal safety profile re...

We present as an option for epidural analgesia and intravenous opioid infusion a clinical case of transversus abdominis plane (TAP) block, with bilateral placement of catheter for postoperative analgesia after exploratory laparotomy performed in a patient with previous abdominal surgery and heart, kidney and liver failure.

Background Joint punctures in children require adequate analgesia, sedation or both. Suitable for this are intravenous sedatives (eg propofol, midazolam) and analgetics (eg, ketamine and fentanyl). The use of these substances is safe, but requires an intravenous line, monitoring and followup. Nitrous oxide/oxygen (N2O/O2) sedation has a long-standing history of safety and success. N2O/O2 has an...