Articles: postoperative-pain.
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To determine whether there is sufficient evidence to support the use of one-time high-dose (>30 mg/kg) rectally administered acetaminophen to control postoperative pain in children. ⋯ Due to limited study data, wide study variability, and lack of standardization in terms of design, objectives, study population, dosing, rectal formulation, and monitoring, compounded by the fact that children often require additional doses of acetaminophen to control postoperative pain, the practice of using one-time, high-dose, rectally administered acetaminophen in children cannot be recommended at this time.
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Aesthetic surgery journal · Nov 2004
Pain management in augmentation mammaplasty: a randomized, comparative study of the use of a continuous infusion versus self-administration intermittent bolus of a local anesthetic.
Indwelling catheters for pain control after augmentation mammaplasty appear to be safe and effective. However, little is known regarding the comparison of continuous flow to intermittent bolus anesthetics. ⋯ After augmentation mammaplasty, both indwelling catheters using continuous flow and intermittent bolus anesthesia as needed are effective in controlling postoperative pain. Continuous flow maintains a steady state of pain control without patient intervention. Self-administration allows patients to have a more active role if they have pain and is an effective low-cost alternative to a commercial pain pump. These conclusions are supported by a review of the literature and by our own experience with more than 380 consecutive patients.
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Randomized Controlled Trial Comparative Study Clinical Trial
Postoperative analgesic effect of epidural neostigmine and plasma cortisol and IL-6 responses.
To examine whether epidural administration of neostigmine reduces the stress and inflammatory responses thereby improving postoperative pain status. ⋯ The preincisional epidural neostigmine transiently suppresses the stress responses during surgery and improves postoperative analgesia in patients undergoing lower open abdominal surgery.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2004
Clinical Trial Controlled Clinical TrialEfficacy of bupivacaine for post-tonsillectomy pain: a study with the intra-individual design.
To determine the effectiveness of postoperative local anesthesia in tonsillectomy patients using an intra-individual study design. ⋯ Postoperative local bupivacaine infiltration in tonsillectomy patients was effective in children.
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Minerva anestesiologica · Nov 2004
Clinical TrialAcute Pain Service and multimodal therapy for postsurgical pain control: evaluation of protocol efficacy.
The institution of a postoperative Acute Pain Control Service is mandatory to improve the control of pain induced by surgical injury. Treatment of postoperative pain may be achieved using a combination of analgesic agents and techniques, reducing the incidence of side effects owing to the lower doses of the individual drugs. In 1997 we established an Acute Pain Service (APS) at the San Raffaele Hospital in Milan. The aim of this study was to assess the efficacy and safety of our APS both in terms of treatment protocols and organisational issues. ⋯ In agreement with previous literature, this study confirmed that a multimodal approach to pain treatment provides an adequate control of postoperative pain, minimizing side effects.