Articles: postoperative-pain.
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Paediatric anaesthesia · Aug 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialTolerance and analgesic efficacy of a new i.v. paracetamol solution in children after inguinal hernia repair.
A new intravenous (i.v.) formulation of paracetamol and propacetamol (prodrug of paracetamol) were compared to determine tolerance and relative analgesic efficacy during the first 6 h after inguinal hernia repair performed under general anesthesia combined with ilioinguinal block in children. ⋯ A single infusion of i.v. paracetamol 15 mg.kg(-1) produced analgesia similar to a single infusion of propacetamol 30 mg.kg(-1) following inguinal hernia repair in children. Paracetamol i.v. 15 mg.kg(-1) was better tolerated at the injection site than propacetamol.
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We present a case report of severe localized infection after continuous popliteal sciatic nerve block. The report highlights the importance of meticulous asepsis and possibly limiting the duration of catheter use.
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Obstetrics and gynecology · Aug 2005
Randomized Controlled Trial Clinical TrialUse of a bupivacaine continuous wound infusion system in gynecologic oncology: a randomized trial.
The aim of the current study was to evaluate the safety and efficacy of a widely available bupivacaine continuous wound infusion system in gynecologic oncology patients undergoing laparotomy. ⋯ The results suggest that although the continuous infusion system seems safe, it is not efficacious in this patient population.
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J. Oral Maxillofac. Surg. · Aug 2005
Randomized Controlled Trial Comparative Study Clinical TrialThe analgesic efficacy of intravenous versus oral tramadol for preventing postoperative pain after third molar surgery.
The aim of this study was to compare the analgesic efficacy of single-dose preoperative intravenous versus oral tramadol for preventing pain after third molar surgery. ⋯ We conclude that preoperative intravenous tramadol is superior to oral tramadol for preventing postoperative pain following third molar surgery. However, it should be noted that there is a difference in the bioavailability between the 2 formulations of up to 30%, which may explain the findings.
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J. Oral Maxillofac. Surg. · Aug 2005
Multicenter Study Comparative Study Clinical TrialPain medication as an indicator of interference with lifestyle and oral function during recovery after third molar surgery.
Purpose This study was designed to assess the impact of taking pain medications, as a more comprehensive indicator of perceived pain, on the extent of interference with lifestyle and oral function during recovery after third molar surgery. Patients and Methods Recovery data after the removal of 4 third molars were available for patients enrolled in an institutional review board-approved, prospective, multicenter clinical trial. A self-administered health-related quality of life instrument, designed to assess a patients perception of recovery for pain, lifestyle, and oral function, was completed each postsurgery day (PSD) for 14 days. ⋯ Conclusions Patients with pain sufficient to prompt taking pain medications were likely to report interference with recovery for lifestyle and oral function. A patients choice to take pain medication appears to be a better indicator of a patients perceived pain and the impact of that pain on recovery than numerical pain scales. This method provides more sensitive behavioral information during the period of recovery after third molar removal.