Articles: postoperative-pain.
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Clin Exp Obstet Gyn · Jan 2005
Randomized Controlled Trial Clinical TrialThe use of tramadol and morphine for pain relief after abdominal hysterectomy.
The aim of this study was to determine whether the addition of a tramadol infusion to morphine patient-controlled analgesia (PCA) results in improved analgesic efficacy compared with morphine PCA alone after abdominal hysterectomy. ⋯ The addition of a tramadol infusion to morphine PCA resulted in improved analgesic efficacy and reduced morphine requirements compared with morphine PCA alone after abdominal hysterectomy.
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Adv Tech Stand Neurosurg · Jan 2005
ReviewPrevention and treatment of postoperative pain with particular reference to children.
Pain therapy is an important aspect of medical practice for patients of all ages, to optimize care, to obtain an adequate quality of life and to improve their general conditions. Pain is among the most prevalent symptoms experienced by patients undergoing surgery. The success of postoperative pain therapy depends on the ability of the clinician to assess the presenting problems, identify and evaluate pain syndromes and formulate a plan for comprehensive continuing care. ⋯ Moreover we report the principal scales to assess the pain intensity in the post-operative period. The need of a multidisciplinatory team and of a pre and postoperative pain management program represents an important goal in order to obtain effective pain relief and optimize pediatric care and rapid recovery. The introduction of a perioperative team service will improve the approach to pain management programs and it is considered the most important challenge for future.
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Randomized Controlled Trial Clinical Trial
Diclofenac intramuscular single dose to decrease pain in post operative Caesarean section: a double blind randomized controlled trial.
To compare the use of diclofenac intramuscular single dose to decrease pain in post operative Caesarean section with none used. ⋯ A single dose of diclofenac intramuscularly decreases the use of morphine during the in post operative period of Caesarean section.
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Acta Anaesthesiol Belg · Jan 2005
Randomized Controlled Trial Comparative Study Clinical TrialPreliminary results of prolonged target controlled infusion of sufentanil adjusted to an effort pain score after cardiac surgery.
Repeated boluses of i.v. morphine are often used for analgesia after cardiac surgery, but this procedure frequently provides inadequate pain relief. Target controlled infusion (TCI) of opioid drugs has been proposed as an alternative. The objective of this study was to evaluate the effects of prolonged sufentanil TCI adjusted to an effort pain score on the postoperative course after cardiac surgery. ⋯ Nine of 10 patients in the TCI group but only 4 of 10 patients in the bolus group gave a VNS below 5 during the stimuli. IS performance was better preserved in the TCI than in the Bolus group (53 +/- 5% versus 35 +/- 5% of preoperative values, p < 0.05). These observations indicate that after cardiac surgery, postoperative pain management with prolonged TCI of sufentanil adapted to a pain score during deep inspiration can achieve better analgesia during routine bedside procedures and higher pulmonary volumes than on-demand boluses of morphine.
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J Minim Invasive Gynecol · Jan 2005
Randomized Controlled Trial Clinical TrialAn assessment of the value of rectus sheath block for postlaparoscopic pain in gynecologic surgery.
To compare the effect of the bilateral rectus sheath block (BRSB) by bupivacaine in decreasing postlaparoscopic pain with the intraperitoneal (IP) and intraincisional (II) use of this drug. ⋯ Bilateral rectus sheath block can effectively decrease postlaparoscopic pain at 6 and 10 hours after the operation when compared with IP and II use of bupivacaine.