Articles: postoperative-pain.
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Zobozdravstveni vestnik · Jan 1990
[Rinsing with 6% solution of hydrogen peroxide in the treatment of postextraction pain].
122 patients with postextraction pain were treated with 6% H2O2 rinsing of the alveolus at the Oral Surgery Unit of the Health Center in Novo mesto. In all patients pain was relieved after one to eight rinsings. 6% H2O2 was applied with a syringe and needle into the alveoli and their surroundings in consecutive daily sessions. For one case of postextraction pain 2.64 sessions on the average were necessary.
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Pain in children from the neonate to the teenager has recently begun to achieve the attention it deserves in the medical literature. Practitioners have been slow to apply both old and new techniques in this patient population. This review focuses on the perioperative management of pain and its associated symptoms in pediatric patients.
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Data from the charts of 40 patients in whom a continuous epidural infusion of fentanyl had been used to effect postoperative pain relief were retrospectively reviewed. Of these patients, 39 out of 40 (97.5%) reported adequate analgesia at an average fentanyl infusion rate of 1.3 micrograms/kg/h. ⋯ The overall incidence of side effects was low, and, in particular, respiratory depression was not noted. In our experience, this analgesia technique is safe, effective, and could be readily introduced into most community hospital settings.
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Clin. Orthop. Relat. Res. · Dec 1989
Efficacy of intermittent epidural morphine following posterior spinal fusion in children and adolescents.
Postoperative pain is a distressing and disabling feature of scoliosis surgery. Epidural morphine has recently been advocated to reduce the frequency and severity of postoperative pain in adults. A retrospective study of 35 patients was conducted to determine whether epidural administration of morphine is useful in the management of postoperative pain in children and adolescents following posterior spinal fusion. ⋯ On the first postoperative day, the total morphine given averaged only 16.4 mg in patients receiving epidural morphine compared to 27 mg in those receiving only conventional parenteral morphine. Similar significant differences persisted through the second postoperative day. Intermittent epidural injection of small doses of morphine can give satisfactory and prolonged analgesia for early postoperative pain management.