Articles: postoperative-pain.
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Major knee surgery can result in severe postoperative pain, especially in older people. When it is inadequately controlled, such pain can have a serious impact on the patient's physical state and their quality of life. This paper looks at the use in one hospital of femoral nerve block techniques to complement other pain-management methods following a total knee replacement operation.
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J. Korean Med. Sci. · Feb 2004
Randomized Controlled Trial Clinical TrialEffect of cryoanalgesia combined with intravenous continuous analgesia in thoracotomy patients.
Fifty patients undergoing thoracotomy was studied to compare the effects of cryoanalgesia combined with intravenous continuous analgesia (IVCA). Patients were randomized into two groups: IVCA group and IVCA-cryo group. Subjective pain intensity was assessed on a visual analogue scale at rest (VAS-R) and during movement (VAS-M). ⋯ However, a significant increase in FVC and FEV1 was observed on the 7th POD in IVCAcryo group. The incidence of the post-thoracotomy pain at the 1st, 3rd, and 6th months postoperatively was 68, 60, and 44% in IVCA group, and 88, 68, and 28% in IVCAcryo group, respectively. Our study showed that cryoanalgesia combined with IVCA effectively restore respiratory function on 7th POD, but that it was not effective at reducing the incidence of post-thoracotomy pain.
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J. Cardiothorac. Vasc. Anesth. · Feb 2004
Randomized Controlled Trial Clinical TrialSimilar pain scores after early and late extubation in heart surgery with cardiopulmonary bypass.
To investigate if early extubation, 2 hours after surgery, would result in more postoperative pain or in an increased use of opioid analgesics compared with late extubation, 6 hours after surgery. ⋯ Early extubation had no negative effect on the quality of postoperative pain control and was not followed by an increased use of analgesics.
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Journal of neurosurgery · Feb 2004
Clinical Trial Controlled Clinical TrialEfficacy of scheduled nonnarcotic analgesic medications in children after suboccipital craniectomy.
The authors performed a study to evaluate the efficacy of a regimen of scheduled minor analgesic medications in managing postoperative pain in children undergoing intracranial procedures. ⋯ A regimen of minor analgesic therapy, given in alternating doses every 2 hours immediately after craniotomy and throughout hospitalization, significantly reduced postoperative pain scores and LOS in children in whom suboccipital craniotomy was performed. Narcotic and antiemetic requirements were also decreased in association with this regimen. Application of this postoperative analgesia protocol may benefit children and adults in whom various similar neurosurgical procedures are required.
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The neuropathic groin pain after inguinal hernia repair is usually due to a neuroma of the ilioinguinal, iliohypogastric, or genitofemoral nerve. When the postherniorrhaphy pain symptoms include mostly testicular pain, then the genital branch of the genitofemoral nerve comes first in the differential diagnosis. Nerve blocks are helpful in determining which of the three nerves is implicated in the pain syndrome. Although the surgical approach to the ilioinguinal nerve is now well established, it has been difficult to identify the genitofemoral reliably enough to permit resection of this nerve. ⋯ Severe and chronic testicular pain after inguinal hernia repair can be treated by a designed approach that identifies the genital branch of the genitofemoral nerve in the proximal inguinal canal, its resection point proximal to the previous operative field, and placement behind the peritoneum.