Articles: postoperative-pain.
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Comparative Study
Post-operative dental pain and analgesic efficacy. Part I.
Two groups, each of 100 adult patients who had undergone either a periodontal or oral surgical procedure were asked to record their pain experience over a three day investigation period. The results show that post-operative dental pain is variable in its nature and intensity, but reaches its maximum intensity in the first 12 hours post-operatively. ⋯ Removal of impacted lower third molars and retained roots result in more post-operative pain than the various other operative procedures. The incidence and severity of post-operative pain showed no clear relationship to the duration of the surgical procedure.
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Results of peridural morphine analgesia in 122 patients after operation were analysed. The duration of analgesia was established to be longer in this case and to improve the course of the postoperative period. Side effects of morphine (nausea, vomiting, skin itch) were noted in 6% of the cases.
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Br Med J (Clin Res Ed) · Nov 1983
Randomized Controlled Trial Comparative Study Clinical TrialComparative trial of rectal indomethacin and cryoanalgesia for control of early postthoracotomy pain.
A randomised double blind trial was carried out over the first two days after thoracotomy to compare the analgesic effects of rectal indomethacin 100 mg administered eight hourly, cryoanalgesia, and a combination of both of these with the effects of conventional intramuscular opiate analgesia. Pain scores were significantly reduced with both rectal indomethacin alone and cryoanalgesia alone; these treatments had an additive effect when used in combination. Pain on movement was significantly increased, and indomethacin was more effective in reducing this than cryoanalgesia. ⋯ It is concluded that rectal indomethacin, in this dosage, can provide good, safe analgesia after thoracotomy with minimum administrative difficulty. When used as an adjunct to cryoanalgesia it has an additive effect. There are many potential uses for this drug in other branches of surgery.
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Randomized Controlled Trial Comparative Study Clinical Trial
The optimum concentration for epidural fentanyl. A randomised, double-blind comparison with and without 1:200 000 adrenaline.
A randomised, double-blind study comparing a variety of different concentrations of fentanyl with and without 1:200 000 adrenaline is described. It was shown that the quality and duration of analgesia with epidural fentanyl was concentration-dependent below 10 micrograms/ml, but that the addition of adrenaline abolished this phenomenon. The rate of failure to achieve any analgesia was very high with the more dilute solutions, but adrenaline reversed this problem. In general the incidences of side effects were related to the concentrations of fentanyl used and apart from itching, the incidences of these side effects were reduced by the addition of adrenaline.