Articles: analgesia.
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Postgraduate medicine · Nov 1991
New techniques in postoperative analgesia. Including patient-controlled intravenous administration.
New and more efficient techniques of postoperative pain management have been recently introduced. Patient-controlled intravenous (and perhaps subcutaneous) administration of analgesics is an improvement over traditional intramuscular injection. Its efficacy, safety, and high acceptance by patients, surgeons, and nurses make this technique increasingly popular for routine management of postoperative pain. ⋯ Spinal administration requires more routine surveillance and, when inadequately managed, has the potential for serious side effects and complications. Clinical investigations currently in progress are aimed at finding more successful and safer methods of postoperative pain control. The best methods will likely involve a multifaceted therapeutic approach rather than the simple effect of one "magic bullet."
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Randomized Controlled Trial Comparative Study Clinical Trial
Analgesic effect of intraarticular morphine after arthroscopic knee surgery.
Opioids can produce potent antinociceptive effects by interacting with local opioid receptors in inflamed peripheral tissue. In this study we examined the analgesic effects of the intraarticular, as compared with intravenous, administration of morphine after arthroscopic knee surgery. ⋯ Low doses of intraarticular morphine can significantly reduce pain after knee surgery through an action specific to local opioid receptors that reaches its maximal effect three to six hours after injection.
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Fag Tidsskr Sykepleien · Oct 1991
Historical Article[Pharmacology (12). Pain-killing agents--history].
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Randomized Controlled Trial Clinical Trial
Patient-controlled analgesia. Does a concurrent opioid infusion improve pain management after surgery?
--To assess the influence of a continuous (basal) morphine infusion as part of a patient-controlled analgesia (PCA) system on the postoperative analgesic requirement and on recovery parameters following abdominal hysterectomy. ⋯ --The routine use of a continuous opioid infusion in combination with a standard PCA regimen does not improve pain management compared with PCA alone after abdominal hysterectomy.