Journal of anaesthesiology, clinical pharmacology
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J Anaesthesiol Clin Pharmacol · Jan 2012
A comparison of the effectiveness of predictors of caudal block in children-swoosh test, anal sphincter tone, and heart rate response.
To study the effectiveness of three predictors of successful caudal block in children, viz. swoosh test, heart rate response to injection, and laxity of anal sphincter tone. ⋯ The anal sphincter tone test was the best predictor of successful caudal block. We recommend the use of these additional simple predictors of accurate needle placement to increase the success rate of caudal block especially in teaching hospitals.
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J Anaesthesiol Clin Pharmacol · Jan 2012
Observational study to assess the effectiveness of postoperative pain management of patients undergoing elective cesarean section.
The study was designed to assess the strategy, effectiveness, and safety of postoperative pain management in patients undergoing elective cesarean section in the obstetric unit of our hospital. ⋯ The regime for postoperative pain management was mostly started and followed by the obstetric team at the hospital. Although the postoperative pain management was adequate in terms of patients' safety, it was not effective according to the goal set by Joint Commission on Accreditation of uniformly low pain score of not more than 3 out of 10 both at rest and with movement.
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J Anaesthesiol Clin Pharmacol · Jan 2012
A comparative randomized study of paravertebral block versus wound infiltration of bupivacaine in modified radical mastectomy.
Paravertebral block (PVB) has the potential to offer long-lasting pain relief because it can uniquely eliminate cortical responses to thoracic dermatomal stimulation. Benefits include a reduction in postoperative nausea and vomiting (PONV), prolonged postoperative pain relief, and potential for ambulatory discharge. ⋯ PVB at the end of the surgery results in better postoperative analgesia, lesser incidence of PONV, and better alertness score.
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J Anaesthesiol Clin Pharmacol · Jan 2012
Comparative evaluation of midazolam and butorphanol as oral premedication in pediatric patients.
To compare oral midazolam (0.5 mg/kg) with oral butorphanol (0.2 mg/kg) as a premedication in 60 pediatric patients with regards to sedation, anxiolysis, rescue analgesic requirement, and recovery profile. ⋯ Oral butorphanol is a better premedication than midazolam in children in view of its excellent sedative and analgesic properties. It does not increase side effects significantly.