Articles: postoperative-pain.
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Anesteziol Reanimatol · Mar 1990
Comparative Study Clinical Trial[The role of non-traditional methods of analgesia in the postoperative period].
192 patients, aged 33 to 67 years, predominantly after abdominal and small pelvic surgery have been examined. Non-conventional techniques of analgesia were used in most of patients: central electroanalgesia, transcutaneous peripheral and paravertebral electroanalgesia, corporal and auricular acupuncture. To ensure postoperative pain relief various types of electrical stimulation were applied using home-made devices, The efficacy of non-conventional anesthesia techniques in the postoperative period has been confirmed.
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Anesteziol Reanimatol · Mar 1990
Clinical Trial[Synthetic analgesic moradol at various stages of surgical treatment of patients with cancer].
Moradol ("Galenika", Yugoslavia)/butorphanol tartrate ("Bristol--Mayers C.", USA)/, a synthetic analgesic representing a new generation of opiate receptors agonists-antagonists, devoid of any narcogenic potential has been used as the only analgesic at all stages of anesthesia during cancer surgery in 26 patients. For premedication moradol was used in a mean dose of 0.032 +/- 0.003 mg.kg-1 in combination with diazepam (0.153 +/- 0.005 mg.kg-1) and atropine (0.01 mg X X kg-1). ⋯ General anesthesia was maintained with moradol, diazepam, nitrous oxide and droperidol. The data presented in the paper demonstrate the advantages of moradol at all stages of intra- and postoperative analgesia, which ensures stable anesthetic background (according to hemodynamic parameters) and reduces considerably an overall postoperative analgesic dose.
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Patient-controlled analgesia is an innovative method of pain control that is being used with increasing frequency in postoperative patients. Besides affording patients a sense of control over their pain, the method seems to offer superior pain relief with less sedation compared with traditional methods. Nurses report that valuable patient care time is saved when complicated negotiations among nurses, patients, and physicians regarding pain management are eliminated, and tasks such as signing out and preparing analgesic injections are no longer necessary. A review of the method is presented.