Articles: analgesia.
-
Ann R Coll Surg Engl · May 1995
Randomized Controlled Trial Clinical TrialHas postoperative pain been eradicated?
Recent evidence suggests that surgical trauma induces a process of central nervous system sensitisation that contributes to and enhances postoperative pain. These changes are also thought to be the underlying cause of much chronic pain. Central sensitisation is generated not only during surgery, but also postoperatively as a result of the inflammatory response to the damaged tissue. ⋯ Evidence that effective perioperative analgesia reduces the incidence of chronic post-thoracotomy chest wall pain was found in a retrospective study of 1000 consecutive thoracotomies. The endpoints of a zero pain score, complete preservation of preoperative lung function and prevention of the stress response to trauma are currently achievable and should be provided for virtually all patients undergoing chest surgery. Pre-empting pain must be the goal for all those involved in the postoperative care of patients.
-
Zhongguo Zhong Xi Yi Jie He Za Zhi · May 1995
Randomized Controlled Trial Clinical Trial[Clinical study in epidural injection with lappaconitine for post-operative analgesia].
This paper studied the effect and side-effect of Lappaconitine for post-operative analgesia with epidural injection. 50 patients who were operated in the upper abdomen with epidural anesthesia. These patients were randomly divided into 5 groups. The general condition of every group was similar. ⋯ The efficacy and the maintenance time of A, B, C groups were significantly different from that of group D (P < 0.05, P < 0.01). Although the effect of group C was less potent than that of group E (morphine injection), there was no side-effect as morphine had. It suggested that Lappaconitine for post-operative analgesia with epidural injection is effective and safe.
-
Comparative Study
Patterns of patient-controlled analgesia and intramuscular analgesia.
Effective management of acute pain is a major nursing goal. The purpose of this study was to identify patient patterns in intravenous patient-controlled analgesia (PCA) and intramuscular (IM) analgesia for patients after surgery. ⋯ Patterns of the use of PCA and IM analgesia were identified. These provide additional information for the development of pain management protocols.