Articles: postoperative-pain.
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The Journal of urology · Oct 1979
Continuous intercostal nerve block for pain relief after lumbar incision.
To relieve postoperative pain along a lumbar incision in 9 patients the intercostal nerves were blocked with catheters for continuous epidural anesthesia. The catheters were inserted near the intercostal nerves, above and beneath the incision, just before the wound was closed and 0.25% bupivacaine hydrochloride solution was infused periodically through the catheters. ⋯ None of the patients had any complications. The technique is simple and can produce an analgesic effect repeatedly without causing pain for the patient.
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British medical journal · Jul 1979
Randomized Controlled Trial Comparative Study Clinical TrialPostoperative analgesia: a comparison of intravenous on-demand fentanyl with epidural bupivacaine.
In a randomised trial postoperative pain relief was provided by either epidural injections of bupivacaine or an infusion of fentanyl adjusted by the patient to achieve adequate pain relief. Both techniques produced satisfactory analgesia without respiratory depression after peripheral arterial surgery. The technique of infusing intravenously a potent analgesic in a dose adjusted by the patient appears to offer several advantages in postoperative care.
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Randomized Controlled Trial Comparative Study Clinical Trial
Postoperative analgesia after circumcision. A randomized comparison between caudal analgesia and intramuscular morphine in boys.
A randomised blind comparison between caudal analgesia (1.5 mg/kg bupivacaine) and intramuscular morphine (0.15 mg/kg) is reported. Forty boys were studied. Caudal analgesia is shown to be significantly better than morphine by means of a linear analogue scale designed to quantify behaviour immediately after operation.