Articles: postoperative-pain.
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The Journal of urology · Oct 2004
Randomized Controlled Trial Comparative Study Clinical TrialEfficacy of continuous epidural analgesia versus single dose caudal analgesia in children after intravesical ureteroneocystostomy.
We compared the effects of single dose caudal injection and continuous epidural infusion of bupivacaine on postoperative pain intensity and supplemental opioid analgesic requirements in children undergoing intravesical ureteroneocystostomy. ⋯ Continuous epidural analgesia and single dose caudal injection of bupivacaine in conjunction with intravenous morphine PCA and ketorolac provide adequate pain control following intravesical ureteroneocystostomy. Continuous epidural analgesia reduces the need for supplemental intravenous morphine and allows children to tolerate a regular diet earlier.
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Multicenter Study
Chronic pain after open mesh and sutured repair of indirect inguinal hernia in young males.
Chronic pain is common after herniorrhaphy, but the effect of surgical technique (mesh versus non-mesh repair) and the social consequences of the pain have not been established. The aim of this study was to analyse chronic postherniorrhaphy pain and its social consequences in young males operated on for an indirect inguinal hernia with a Lichtenstein mesh repair, Shouldice or Marcy (annulorrhaphy) repair. ⋯ Chronic pain is common after primary inguinal hernia repair in young males, but there is no difference in the pain associated with open mesh and non-mesh repair.
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Eur J Cardiothorac Surg · Oct 2004
Randomized Controlled Trial Clinical TrialPostoperative naproxen after coronary artery bypass surgery: a double-blind randomized controlled trial.
Non-steroidal anti-inflammatory drugs (NSAIDs) are routinely used after coronary artery bypass surgery (CABG), yet their effects have seldom been evaluated in randomized controlled settings. The aim of this study was to examine the efficacy and safety of a commonly used NSAID, naproxen. We hypothesized that naproxen would reduce postoperative pain following CABG without increasing complications. ⋯ Naproxen is an effective and low-cost adjunct for optimization of pain control and lung recovery after CABG. Its use may result in increased chest tube drainage, but no apparent increase in other complications.
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The Journal of urology · Oct 2004
Randomized Controlled Trial Comparative Study Clinical TrialThe efficacy of LMX versus EMLA for pain relief in boys undergoing office meatotomy.
We determined if a difference in pain management occurred when topical anesthetics LMX (formerly ELA-Max, lidocaine 4%) and EMLA (lidocaine 2.5% and prilocaine 2.5%) were compared in boys undergoing office meatotomy for symptomatic meatal stenosis. ⋯ There was no significant difference between LMX and EMLA when applied 45 minutes before meatotomy. When applied 30 minutes before meatotomy LMX provided significantly superior pain management than EMLA.
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Randomized Controlled Trial Comparative Study Clinical Trial
Pain relief using continuous bupivacaine infusion in the paravertebral space after loin incision.
Continuous bupivacaine paravertebral nerve block after thoracotomy has been shown to reduce postoperative pain. This study was designed to determine whether paravertebral nerve block using bupivacaine infused through a catheter placed intraoperatively, can reduce postoperative pain, and analgesia requirements after loin incision. ⋯ Paravertebral blockade using bupivacaine is an effective and safe method for pain relief following renal surgery through loin incision.