Articles: postoperative-pain.
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Individual patient meta-analysis to determine the analgesic efficacy and adverse effects of single-dose rofecoxib in acute postoperative pain. ⋯ Single-dose rofecoxib 50 mg is an effective treatment with long-lasting analgesia and few adverse effects in dental pain. More information is required to confirm efficacy in postsurgical pain.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Caudal bupivacaine supplemented with caudal or intravenous clonidine in children undergoing hypospadias repair: a double-blind study.
Clonidine is used increasingly in paediatric anaesthetic practice to prolong the duration of action of caudal block with a local anaesthetic agent. Which route of administration of clonidine is the most beneficial remains unknown. We compared the effects of caudal and i.v. clonidine on postoperative analgesia produced by caudal bupivacaine after hypospadias repair. ⋯ The analgesic effect of clonidine 2 micro g kg(-1) as an adjunct to caudal block with bupivacaine 0.25%, 0.5 ml kg(-1) is similar whether administered i.v. or caudally.
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Rev Bras Anestesiol · Feb 2004
Epidural abscess after patient-controlled epidural analgesia. Case report.
Epidural analgesia is often used to control postoperative pain or to manage chronic pain in oncologic patients. However, it is not free from complications. This case reports a young healthy female patient submitted to epidural analgesia in patient-controlled infusion pump, which developed epidural abscess requiring surgical decompression. ⋯ Epidural analgesia often used to control postoperative or chronic pain, although very effective, is not free from severe, although rare complications, such as epidural abscess.
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Randomized Controlled Trial Comparative Study Clinical Trial
Infraclavicular perineural local anesthetic infusion: a comparison of three dosing regimens for postoperative analgesia.
In this randomized, double-blind study, the authors investigated the efficacy of continuous and patient-controlled ropivacaine infusions via an infraclavicular perineural catheter in ambulatory patients undergoing moderately painful orthopedic surgery at or distal to the elbow. ⋯ After moderately painful orthopedic surgery at or distal to the elbow, 0.2% ropivacaine delivered as a continuous infusion combined with patient-controlled bolus doses via an infraclavicular perineural catheter optimizes analgesia while minimizing oral analgesic use compared with basal- or bolus-only dosing regimens.