in a randomized, double blind study , we compared post operative pain and analgesic requirement in patients undergoing cesarean section with two types of general anesthesia: standardized general anesthesia (control group=26 cases) and preemptive low-dose ketamine (0.2 mg/kg) administered prior to anesthesia induction (keratmine group=27 cases). postoperative analgesia was provided for both grou...

conclusions intrathecal midazolam 2 mg provides significantly longer and effective postoperative analgesia with no side effects. results postoperative analgesia was significantly longer in the midazolam group compared to the control group (201.5 minutes vs. 357.6 minutes). the mean onset times of the sensory and motor blocks were significantly faster (p < 0.01) in the midazolam group compared t...

introduction: post operative pain is an unpleasant experience following various stimuli resulting in a response by the body. this process causes physiological disturbances in all of the systems of the body. methods and materials: in this clinical trial , 60 upper abdominal surgery patients were selected post operatively and divided into two groups of 30 patients each. in one group, bupivacaine ...

conclusions the study results demonstrated that preemptive use of dextromethorphan reduced postoperative pain and opioid consumption. patients and methods this double blind randomized clinical trial was conducted on arthroscopic surgery candidates. participants were randomly allocated to interventions and assigned to two groups of dextromethorphan and placebo. in dextromethorphan group, the pat...

conclusions the use of diclofenac suppository combined with iv pca results in reduced narcotic usage and a higher level of patient satisfaction compared to the use of iv acetaminophen combined with iv pca. results the patients’ characteristics were the same in both study groups. the patients’ satisfaction levels were higher among those who received diclofenac when compared with the acetaminophe...

conclusions both intravenous and epidural analgesic techniques with combination of analgesics provide proper postoperative pain control after major gynecologic cancer surgeries without any significant complications. regarding lower sedative and respiratory depressant effects of epidural analgesia, it seems that this method is a safer technique for postoperative pain relief in these patients. re...

conclusions these findings indicate the usefulness of pca compared to the routine methods on pain relief after operation.therefore this method can be recommended to alleviate postoperative pain. background unrelieved pain after surgery can lead to increased postoperative complications, prolonged hospital stay and delayed recovery. patient-controlled analgesia (pca) has emerged as a standard tec...

conclusions the addition of s (+)-ketamine or clonidine to levobupivacaine 0.25% in caudal analgesia for hypospadias repair appears to be of no benefit. however, use of the additives in combination increased postoperative sedation. results the 87 patients included had a mean ± sd age of 21.4 ± 13.5 months and weight of 11.9 ± 2.4 kg. the median doses of levobupivacaine, s (+)-ketamine, and clon...

  Purpose: Patients may control postoperative pain by self-administration of intravenous opioids   using devices designed for this purpose (patient controlled analgesia or PCA). This study set out   to determine whether any of the two opioid administrations (i.e. PCA or conventional analgesia)   would provide superior pain relief among patients undergoing laparoscopic cholecystectomy   or not. ...