Articles: analgesia.
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Randomized Controlled Trial Clinical Trial
Immediate recovery of psychomotor function after patient-administered nitrous oxide/oxygen inhalation for colonoscopy.
Previous studies have shown that patients inhaling-self-administered nitrous oxide/oxygen as a sedative/analgesic medication for colonoscopy were ready to leave the endoscopy unit on average sooner than those given conventional intravenous premedication. The aim of this study was to define the time course of recovery after nitrous oxide/oxygen sedation or intravenous opiate/benzodiazepine premedication for colonoscopy. ⋯ The rapid recovery observed with nitrous oxide/oxygen sedation for colonoscopy suggests that it is safe for patients to travel unescorted after the procedure. Driving may also be safe soon after nitrous oxide/oxygen sedation, but this requires further clarification.
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Anaesthesiol Reanim · Jan 1997
Review Case Reports[Epiduritis after long-term pain therapy with an epidural catheter--review of the literature with a current case report].
Patients suffering from vascular disease are often a challenge for the acute pain service. Ischaemia, impaired wound healing, stump and phantom limb pain often require a complex analgesic regimen. Invasive measures such as spinal or epidural catheters can be very helpful but carry the risk of infection, as shown by this case report. ⋯ A little necrotic material and residues of an old haematoma were removed and the epidural space was lavaged. Specimens taken from the epidural material revealed colonisation with staphylococcus epidermidis, which was sensitive to the broad spectrum antibiotics formerly given to the patient to treat the infection in the left stump. By the next day, all signs of epiduritis had disappeared and the patient recovered completely.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jan 1997
Randomized Controlled Trial Clinical TrialPost-partum urinary retention: a comparison between two methods of epidural analgesia.
To compare two methods of epidural labor analgesia regarding the incidence of post-partum urinary retention. ⋯ EDA significantly increased the risk of post-partum urinary retention but no difference was found between the two epidural techniques.
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Clin Podiatr Med Surg · Jan 1997
ReviewSedation, analgesia, and anesthesia issues in the pediatric patient.
Pediatric and adolescent patients facing analgesia, anesthesia, and surgical procedures require different considerations than adults do. The preoperative, intraoperative, and postoperative time periods are discussed. Analgesia considerations outside the operating room are covered. The practicing podiatric physician will be able to assess better the physical needs of the pediatric patient by understanding and incorporating their emotional needs.