Acta medica Iranica
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Acta medica Iranica · May 2010
Randomized Controlled Trial Comparative StudyComparison the analgesic effects of single dose administration of tramadol or piroxicam on postoperative pain after cesarean delivery.
A multimodal approach to postcesarean pain management may enhance analgesia and reduce side effects after surgery. We investigated postoperative pain in a double-blinded, randomized, single-dose comparison of the monoaminergic and mu-opioid agonist tramadol, 100 mg (Group T) and piroxicam 20 mg (Group P) given IM alone--single dose in 150 patients who had elective cesarean delivery. All patients were assessed at 0, 6, 12 and 24 hours post operation for pain degree (by Visual Analogue Score: VAS 1-10), nausea and vomiting. ⋯ Mean +/- SEM pain degrees were as follows: P = 7.7 +/- 0.5, T = 8.2 +/- 0.8 after 0 hours; P=5.4 +/- 0.6, T = 6.1 +/- 0.5 after 6 hours; P=3.3 +/- 0.4, T = 3.4 +/- 0.7 after 12 hours; P = 1.1 +/- 0.4, T = 1.3 +/- 0.5 after 24 hours of surgery. Side effects were similarly minimal with all treatments. It might be concluded that i.m. injections of 20 mg piroxicam (single dose therapy) could relieve postoperative pain after cesarean section as well as tramadol and it could reduce opioid analgesic requirements with less adverse side effects during the first postoperative 24 h.
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Report of 850 cases of foreign bodies in the air and food passages is presented. The incidence of the accident was more in children between the age of 1-6 years than others. ⋯ General anesthesia is recommended in the case that foreign bodies are present in the air way of children. In these cases bronchoscopy with oxygenation by insulfation in brochoscope or Ventury 50 or other similar techniques is recommended.