Articles: postoperative-pain.
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Reg Anesth Pain Med · Sep 2004
Randomized Controlled Trial Clinical TrialPeripheral opioid analgesia in laparoscopic cholecystectomy.
Recent research has revealed that opioids can act directly on the peripheral terminals of afferent nerves to mediate antinociception. The aim of this study was to assess the influence of peripheral morphine administration on the nociception process in the postoperative period. ⋯ Results of the study confirm the possibility of modifying the nociception process in the postoperative period through peripheral opioid administration.
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Paediatric anaesthesia · Sep 2004
Randomized Controlled Trial Comparative Study Clinical TrialEffectiveness of morphine via thoracic epidural vs intravenous infusion on postthoracotomy pain and stress response in children.
Thoracotomy causes severe pain in the postoperative period. The aim was to evaluate effectiveness of two pain treatment methods with morphine on postthoracotomy pain and stress response. ⋯ Single dose TEP morphine offers no advantage over INF for pain treatment for thoracotomy in children and neither technique provided suppression of stress hormones in the first 24 h postoperatively.
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Randomized Controlled Trial Comparative Study Clinical Trial
Effects of ropivacaine infiltration on cortisol and prolactin responses to postoperative pain after inguinal hernioraphy in children.
Painful interventions may have a serious adverse psychological impact, particularly in young patients. Inguinal hernia repair is the most common surgical outpatient procedure performed on infants and children. The aim of this study was to compare the effects of pre- and postincisional infiltration of the surgical area with ropivacaine on cortisol (C) and prolactin (PRL) release and postoperative pain in children undergoing inguinal hernia repair. ⋯ The findings of the current study suggest that wound infiltration with ropivacaine decreases the stress response to surgery and the postoperative pain.
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Comparative Study
Establishing a nurse-based, anesthesiologist-supervised inpatient acute pain service: experience of 4,617 patients.
To describe our nurse-based Acute Pain Services (APS) and present the results of 4617 patients treated by our service. ⋯ A nurse-based APS provides effective and safe postoperative pain management.
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Comparative Study
[Analgesic alternatives for the control of postoperatory pain in radical mastectomy].
The purpose of preventive analgesia based on regional blocks with local anesthetics is to avoid sharp and hard-to-control pain in the anterior side of thorax and axilla secondary to radical mastectomy. ⋯ Preventive analgesia by direct transoperational block on nerves turned out to be an effective alternative with low level of systemic morbidity, which must be considered to prevent moderate and severe pain syndromes that are difficult to control in thoracic oncological surgery.