Articles: postoperative-pain.
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Clin. Orthop. Relat. Res. · Feb 1987
Patient-controlled analgesia in the total joint arthroplasty patient.
In a prospective study of 30 total hip or knee joint arthroplasty patients, the use of the patient-controlled analgesia (PCA) pump was evaluated for patient acceptance and relief of pain. In 30 patients, (average age, 72.5 years) excellent analgesia was obtained with the PCA machine without the side effects of conventional intramuscular dosing. PCA was enthusiastically received by nurses, physicians, and patients, and it has become the method of choice in the author's hospital.
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Acta Anaesthesiol Belg · Jan 1987
Randomized Controlled Trial Comparative Study Clinical TrialCryoanalgesia for post-thoracotomy pain relief.
A randomized study comparing the postoperative requirements of narcotics of three groups of patients (Group I: no analgesia; Group II: internal intercostal nerve block; Group III: cryoanalgesia) was conducted. This study was performed in order to assess the efficiency of cryoanalgesia versus internal intercostal nerve block to obtain pain relief after thoracotomy. Regarding post-operative narcotic requirements (Piritramide-Dipidolor), there was no significant difference between Group I and Group II patients, but patients from Group III required a significantly lower amount of narcotics during the first 36 postoperative hours (p less than 0.01). We conclude that, although cryoanalgesia does not provide complete post-thoracotomy pain relief, it is however an easy and safe method and is more efficient than internal intercostal nerve block for pain relief after thoracotomy.
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The clinical evaluation of continuous administration of epidural morphine was undertaken using an infusion pump (Act-A-Pump 1000). Eleven patients who had undergone abdominal surgical procedures were treated with this therapeutic modality for postoperative pain control, and two cancer patients for chronic pain relief. The results were satisfactory and the advantages over repeated epidural injections are discussed.