Articles: postoperative-pain.
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Regional-Anaesthesie · Oct 1984
Comparative Study[Thoracic peridural anesthesia for intra- and postoperative analgesia in lung resections. A comparison of stress reactions and postoperative lung function].
47 patients who were scheduled for lung resection were assigned to two groups. 23 patients had a neurolept analgesia and postoperatively parenteral analgetics. 24 patients received a combination of thoracic peridural anaesthesia and nitrous oxide-oxygen anaesthesia for surgery. The peridural analgesia was continued for 2-3 days for postoperative pain control. Heart rate and mean arterial pressure were recorded. ⋯ No obstruction was observed. PaO2 and paCO2 showed no clinically relevant differences. During surgery the combination of general and regional anaesthesia results in a lower stress response of the heart and postoperatively it improves lung function which is an important advantage in comparison with systemic analgetics.
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Acta Anaesthesiol Scand · Oct 1984
Comparative StudyDiazepam does not prevent succinylcholine-induced fasciculations and myalgia. A comparative evaluation of the effect of diazepam and d-tubocurarine pretreatments.
To determine the effectiveness of diazepam pretreatment in preventing succinylcholine (SCh)-induced fasciculations and body pains, 587 patients were randomly allocated to six groups. Patients in Group I received no pretreatment and served as controls. Patients in Groups II and III were pretreated with 0.05 mg/kg of diazepam either 4-5 min (Group II) or 8-10 min (Group III) prior to SCh administration. ⋯ There was no statistically significant difference in the incidence of body pains by virtue of site of operation, age, sex, and inpatient/outpatient status. It is concluded that the problem of postoperative myalgia is significant and that dTc pretreatment is the effective method for prevention of fasciculations and postoperative myalgia. Diazepam pretreatment was ineffective for the prevention of fasciculations and myalgia.