James Paul, Aman Arya, Lindsay Hurlburt, Ji Cheng et al.
BACKGROUND: Femoral nerve blockade (FNB) is a common method of analgesia for postoperative pain control after total knee arthroplasty. We conducted a systematic review to compare the analgesia outcomes in randomized controlled trials that compared FNB (with and without sciatic nerve block) with epid...
HL McLachlan, DA Forster, MA Davey, Thomas J. Farrell et al.
OBJECTIVE: To determine whether primary midwife care (caseload midwifery) decreases the caesarean section rate compared with standard maternity care. DESIGN: Randomised controlled trial. SETTING: Tertiary-care women's hospital in Melbourne, Australia. POPULATION: A total of 2314 low-risk pregnant wo...
Tahmina Begum, Aminur Rahman, Herfina Nababan, Dewan Md Emdadul Hoque et al.
BACKGROUND AND METHODS: Caesarean section (C-section) is a major obstetric intervention for saving lives of women and their newborns from pregnancy and childbirth related complications. Un-necessary C-sections may have adverse impact upon maternal and neonatal outcomes. In Bangladesh there is paucit...
Edward R. Savolaine, Jyoti Pandya, Samuel H. Greenblatt, Steven R. Conover
The anatomy of the lumbar epidural space was demonstrated in 40 patients by computed tomography (CT) examinations performed after epidural injection of noninonic radiographic contrast material into the sacral caudal canal via percutaneous catheter. Radiologic evaluation of the epidural space was per...
David McNamee, L. Parks, K. R. Milligan
BACKGROUND: Femoral and sciatic nerve block may not provide complete post-operative analgesia following total knee replacement. This study was designed to evaluate whether the addition of an obturator nerve block to combined femoral and sciatic nerve block improves the quality of post-operative anal...
Sarah S. Osmundson, Leslie A. Schornack, Jennifer L. Grasch, Lisa C. Zuckerwise et al.
OBJECTIVE: To characterize postdischarge opioid use and examine factors associated with variation in opioid prescribing and consumption. METHODS: We conducted a prospective observational cohort study by recruiting all women undergoing cesarean delivery during an 8-week period, excluding those with m...
James E. Caldwell, Tom Heier, Peter M. C. Wright, Sean Lin et al.
BACKGROUND: The authors evaluated the influence of temperature on the pharmacokinetics and pharmacodynamics of vecuronium because mild core hypothermia doubles its duration of action. METHODS: Anesthesia was induced with alfentanil and propofol and maintained with nitrous oxide and isoflurane in 12 ...
U. A. CARABINE, K. R. Milligan, J. MOORE
We have assessed the use of clonidine and bupivacaine for postoperative analgesia. Both drugs were administered via the extradural route, and were given both alone and in combination. The analgesia produced by clonidine was superior to that of bupivacaine; a combination of the drugs resulted in sign...
Mst Rabea Begum
Aim: The aim of the study was to find out the validity and reliability of visual analogue scale in pain measurement. Methodology: A critical review was done for this study. Total ten studies are included in this study. The majority of study designs are cross sectional study. In analyses most of the...
PER H. ROSENBERG, Eija Kalso, MARJATTA K. TUOMINEN, HANS B. LINDÉN
Peter S. Staats, Shawn M. Stinson, Roland R. Lee
(Staats) Director, Division of Pain Medicine, Department of Anesthesiology/Critical Care Medicine.(Stinson) Assistant Professor, Department of Medicine.(Lee) Assistant Professor, Department of Radiology.Received from the Departments of Anesthesiology/Critical Care Medicine, Medicine, and Radiology, ...
K. A. George, Peter M. C. Wright, A M Chisakuta, N. V. S. RAO
Twenty-one ASA I or II patients undergoing upper abdominal surgery were studied for 24 hours after operation. They were entered into a prospective, randomised study of patient-controlled intravenous morphine compared with continuous thoracic epidural fentanyl combined with 0.2% bupivacaine. Pain rel...
Jyrson Guilherme Klamt, Alexandre Slullitel, Luís Vicente Garcia, W.A. Prado
A clinical trial was conducted to evaluate the postoperative analgesic efficacy and the safety of intrathecal neostigmine in patients undergoing anterior and posterior vaginoplasty under spinal anaesthesia. Thirty-six patients were randomly divided into three groups to receive: normal saline (1 ml),...
Salim M. Jahangir, FM Mofakharul Islam, L. Aziz
Narcotics commonly used for postoperative analgesia may release histamine and cause bronchospasm in asthmatics. Ketamine, on the other hand, provides analgesia and has the additional advantage of preventing and relieving bronchospasm. We therefore delivered subanesthetic doses of ketamine in combina...