Articles: analgesia.
-
Comparative Study Clinical Trial Controlled Clinical Trial
Intraventricular or epidural injection of morphine for severe pain.
Intraventricular or epidural injection of morphine through implantable infusion devices was used for severe pain in 50 patients with advanced cancer, arachnoiditis, or spinal injury. Intraventricular catheter was inserted for injection of morphine in 21 patients, 29 were treated through epidural infusion. ⋯ No significant side effects have been noted in patients with either epidural or intraventricular injection of morphine. These may be excellent methods for pain control in well selected patients.
-
Intravenous regional analgesia for foot surgery with an ankle tourniquet was used for 48 cases. Prilocaine 0.5% 3 mg/kg body weight was injected either quickly over about 2 minutes or slowly over about 5 minutes. The tourniquet was inflated either to occlusion pressure plus 100 mmHg or to occlusion pressure plus 200 mmHg. ⋯ The data suggest that slow injection with the high tourniquet inflation pressure is better, although the differences in leakage with an intact tourniquet were not statistically significant. Excellent analgesia was achieved in over 90% of patients and there were no complete failures. No dangerously high prilocaine plasma levels were produced and no serious side effects observed.
-
Epidural catheters are now beginning to be used to manage pain in the critically ill child. Effective use of epidural catheters and epidural analgesics is a critical care nursing challenge.
-
A prospective comparison of conventional analgesia and patient-controlled analgesia using morphine was conducted. Each patient underwent a major gynecologic oncology procedure and was observed on the post-operative floor. All 192 patients were studied during the first three post-operative days. The findings suggest less total medication and less sedation with equal pain control in the patient-controlled analgesia group.