Spinal anesthesia for knee arthroscopy is a well-documented and safe procedure. However, some complications and higher costs have been reported. Also, many orthopaedic surgeons are reluctant to use local anesthesia for fear of having to convert to general anesthesia due to inadequate pain control. The purpose of this study is to compare local with spinal anesthesia in two groups of patients sub...

results ketamine group had significant pain relief properties in compare with control group in first hours after cesarean section (0.78 ± 1.09 vs. 1.72 ± 1.22, vas score, p = 0.00). total dose of meperidine consumption in women of ketamine group was significantly lower than women of control group (54.17 ± 12.86 vs. 74.44 ± 33.82 mg, p = 0.02). there were no significant drug side effects in part...

background hip fracture–related pain both before and after surgery is generally reported as severe by most patients. various regional pain control modalities have been described in order to reduce pain in these patients. objectives because of the challenges of lumbar plexus block (lpb) and the fact that the effect of combined femoral nerve block/spinal anesthesia in controlling pain after ortho...

BACKGROUND Perioperative thoracic epidural analgesia reduces stress response and pain scores and may improve outcome after cardiac surgery. This prospective, randomized trial was designed to compare the effectiveness of patient-controlled thoracic epidural analgesia with patient-controlled analgesia with intravenous morphine on postoperative hospital length of stay and patients' perception of t...

The objective of the study was to evaluate effectiveness prolonged ESP-block in comparison with thoracic epidural anesthesia MIDCAB surgery. Materials and methods. We conducted a prospective randomised two centre 45 patients who underwent In addition general anesthesia, performed group 1 (n = 22), 2 23). Results. decrease blood pressure caused by development regional block at all stages more pr...

Background: Intrathecal magnesium sulfate, an NMDA antagonist, has been shown to prolong analgesia and potentiates spinal anesthesia without significant side effects in parturients. This study aimed to explore the hypothesis that adding magnesium sulfate to intrathecal low-dose of bupivacaine and sufentanil can prolong the spinal analgesia in patients with severe pre-eclampsia. Methods: Sixty p...

Single dose caudal epidural anesthesia is a commonly performed regional technique in paediatric anesthesia. It supplements general anesthesia during surgery and provides analgesia in the post operative period for lower abdominal surgeries not exceeding 45 minutes. Aims and Objectives: A comparative prospective interventional study was conducted to assess the duration, efficacy and safety of two...

In principle, the combination of two different administration of anesthesia routes on the same patient improves effectiveness and reduces side effects (Stevens and Edwards, 1999) [B]: Spinal anesthesia provides fast and reliable segmental anesthesia with minimal risk for toxicity, while epidural anesthesia provides perioperative anesthesia (alone or in combination with general anesthesia), foll...

The safety, advantages, disadvantages and anesthetic agents used in the segmental technique of continous lumbar epidural analgesia for pain relief during labor and delivery are discussed in this article. The author describes the anesthetic management of an uncomplicated labor and vaginal delivery. Upon reading the Joint Commission on Accredita-tion of Hospitals' manual, it becomes obvious that ...

BACKGROUND Insulin resistance (IR) is a feature of the endocrine stress response to surgery. It is not known whether a preoperative state of IR would affect the postoperative endocrine response. We sought to characterize the preoperative state of IR in a group of patients undergoing elective hip and knee arthroplasty, and to determine to what extent perioperative epidural analgesia modifies the...