Articles: postoperative-pain.
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Randomized Controlled Trial Clinical Trial
Analgesia and postoperative hypoxaemia after gastric partition with and without bupivacaine wound infiltration.
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Clin. Orthop. Relat. Res. · May 1990
Colonic pseudoobstruction associated with patient-controlled analgesia after total joint arthroplasty.
Patient-controlled analgesia (PCA) is a concept that permits patients to administer a prescribed dose of narcotic to themselves when they experience pain. Six patients developed colonic pseudoobstruction after the use of morphine sulfate administered via a PCA infuser. Early recognition and prompt treatment make this a transient, reversible illness. Treatment includes discontinuing the use of the PCA morphine, eliminating oral intake, ensuring adequate hydration and electrolyte balance, placing a nasogastric tube, rolling the patient, and closely observing for signs and symptoms of worsening colonic distention and possible rupture.
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Randomized Controlled Trial Comparative Study Clinical Trial
Bupivacaine added to epidural fentanyl does not improve postoperative analgesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Patient controlled lumbar epidural fentanyl for post thoracotomy pain.
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Regional anesthesia · May 1990
Preoperative percutaneous ilioinguinal and iliohypogastric nerve block with 0.5% bupivacaine for post-herniorrhaphy pain management in adults.
The safety, effectiveness and duration of a percutaneous ilioinguinal-iliohypogastric nerve block with 10 ml 0.5% bupivacaine, as a method for postoperative analgesia, were studied prospectively in adult patients undergoing unilateral inguinal herniorrhaphy under spinal anesthesia. Group I (n = 20) blocked patients were compared with Group II (n = 25), non-blocked control patients. ⋯ Group I patients had less pain at 3, 6, 24 and 48 hours after surgery and also required less analgesics during the first two postoperative days. This technique appears to be a simple and safe method for providing effective and long-lasting postoperative analgesia following inguinal hernia repair in adults.