Articles: postoperative-pain.
-
Twelve patients undergoing elective cholecystectomy received as analgesic medication a single dose of methylprednisolone (30 mg/kg) preoperatively and thoracic epidural analgesia with plain bupivacaine for 48 hours + epidural morphine 4 mg and systemic indomethacin 100 mg, both every 8 hours for 96 hours. Assessments of pain, various parameters of response to injury, peak flow and subjective fatigue were made preoperatively, before and 3 and 6 hours after skin incision and 1, 2, 4 and 8 days postoperatively. ⋯ There were no side effects. These results may be explained by inhibition of various trauma-induced inflammatory mediators.
-
Randomized Controlled Trial Comparative Study Clinical Trial
[Critical aspects of an outside evaluation of postoperative pain in infants. A placebo-controlled double-blind study of the question of the reliability and validity of the measurement system].
Postoperative analgesia in infants and young children is a topic of growing interest in pediatric anesthesia. Two systems measuring postoperative pain in this group of patients have been offered recently: CHEOPS (Childrens Hospital of Eastern Ontario Pain Scale) by McGrath et al. and OPS (Objective Pain Scale) by Hannallah et al. and Broadman et al. [3, 7, 8]. Both systems are economical and not reactive, but their validity is not satisfying. ⋯ The design of the study was accepted by the ethic committee with the provision that neither a sedative nor an analgesic drug should be withheld from any child if indicated. Therefore, all children who seemed to feel discomfort according to the subjective impression of the anesthetist received midazolam intraveneously to a maximal dose of 2 mg. All the behavioral data were included in a factor analysis (principal components)...
-
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.
-
Patient-controlled analgesia (PCA) is a method of administering narcotics in which the patient activates a machine to administer a small bolus of narcotic. In the first year of PCA use in our hospital, 26 patients used PCA. ⋯ No clinical respiratory depression was noted, and patients did not titrate themselves to complete analgesia. PCA is an effective means of pain control in adolescent patients.
-
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.