Journal of the West African College of Surgeons
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J West Afr Coll Surg · Jul 2011
Opioid-sparing effect of bupivacaine wound infiltration after lower abdominal operations.
Pain management has traditionally been provided by opioid analgesics. However, the reluctance of some health personnel to prescribe or administer opioids because of the fear of side effects has hindered their use. Local anaesthetic wound infiltration has been shown to improve postoperative pain management. ⋯ Bupicacaine wound infiltration improved pain scores at rest within the first 6 hours and pain scores on coughing within the first 24 hours postoperatively. Although the technique increases the options available for postoperative pain relief after lower abdominal surgery, it cannot be used alone in this type of surgery.
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J West Afr Coll Surg · Jul 2011
Effects of lidocaine and k-y jellies on sore throat, cough, and hoarseness following endotracheal anaesthesia.
Tracheal intubation for general anaesthesia is often associated with postoperative sore throat, hoarseness and cough which can be distressing to patients. We compared the effects of lidocaine and K-Y jellies on postoperative sore throat, cough and hoarseness of voice following endotracheal anaesthesia. ⋯ K-Y jelly is superior to lidocaine jelly in preventing postoperative sore throat, and in reducing the incidence of hoarseness of voice and cough. Postopearive throat complaints are more common in females than males.