The Role of Coxibs in the Management of Postoperative Pain

2014 ◽  
pp. 93-102
Author(s):  
S. A. Schug
Keyword(s):  
Author(s):  
Rubina Yasmin ◽  
AKM Akhtaruzzaman ◽  
Paresh Chandra Sarker ◽  
Neaz Ahmed ◽  
Ranadhir Kumar Kundu ◽  
...  

This prospective clinical study was carried out in the Dept. of Anaesthesia, Analgesia and Intensive Care Medicine, BSMMU, Dhaka, during the period of May 2003 to July 2003. The study was done to emphasize the importance of giving analgesics preemptively instead of waiting for the child to complain of pain and to produce smooth recovery after surgery by decreasing immediate postoperative pain in children by a simple, safe acceptable drug. The children scheduled for tonsillectomy under general anaesthesia were recruited in this study. The analgesic efficiency of rectal paracetamol in two doses, 25 mg/kg bodywt.(Gr-P25) and 50 mg/kg. bodywt. (Gr-P50) were compared with Diclofenac Sodium suppository 1mg/ kg body weight (Gr-D) given half an hour before induction of anaesthesia. Pain scoring was done by TPPPS (Toddler Pre-schooler postoperative pain scale). Heart rate and blood pressure were stable in Gr-P50 and Gr-D. Time of first demand of analgesic was delayed in Gr-P50 and Gr-D. Total paracetamol consumption in 24 hours was less in Gr-P50(181±14.25) and Gr-D (212±25) than Gr-P25(318± 26.39). Total duration of analgesia in Gr- P50 (657±9.94) mins. and in Gr- D(502±10.63) mins. and in Gr-P25(288±23.17) mins. Pre-emptive high dose rectal paracetamol appears to be more effective than diclofenac sodium suppository for postoperative analgesia in children undergoing tonsillectomy. Journal of BSA, Vol. 18, No. 1 & 2, 2005 p.9-16


2019 ◽  
Vol 4 (4) ◽  
pp. 158-166
Author(s):  
Stephan M. Freys ◽  
Esther Pogatzki-Zahn

AbstractThe incidence rates of adverse events secondary to any operation are a well-known problem in any surgical field. One outstanding example of such adverse events is postoperative pain. Thus, the incidence of acute postoperative pain following any surgical procedure and its treatment are central issues for every surgeon. In the times of Enhanced Recovery After Surgery (ERAS) programs, acute pain therapy became an increasingly well investigated and accepted aspect in almost all surgical subspecialties. However, if it comes to the reduction of postoperative complications, in the actual context of postoperative pain, surgeons tend to focus on the operative process rather than on the perioperative procedures. Undoubtedly, postoperative pain became an important factor with regard to the quality of surgical care: both, the extent and the quality of the surgical procedure and the extent and the quality of the analgesic technique are decisive issues for a successful pain management. There is growing evidence that supports the role of acute pain therapy in reducing postoperative morbidity, and it has been demonstrated that high pain scores postoperatively may contribute to a complicated postoperative course. This overview comprises the current knowledge on the role of acute pain therapy with regard to the occurrence of postoperative complications. Most of the knowledge is derived from studies that primarily focus on the type and quality of postoperative pain therapy in relation to specific surgical procedures and only secondary on complications. As far as existent, data that report on the recovery period after surgery, on the rehabilitation status, on perioperative morbidity, on the development of chronic pain after surgery, and on possible solutions of the latter problem with the institution of transitional pain services will be presented.


2013 ◽  
Vol 65 (1) ◽  
pp. 55 ◽  
Author(s):  
In Ji Kim ◽  
Cheon Hee Park ◽  
Seong Heon Lee ◽  
Myung Ha Yoon

Cureus ◽  
2019 ◽  
Author(s):  
Raheel Ahmad ◽  
Mehwish Changeez ◽  
Asim Tameez Ud Din ◽  
Anum Iftikhar ◽  
Hafiz Bilal Ahmad ◽  
...  

1995 ◽  
Vol 10 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Graeme A. McLeod ◽  
Huw T.O. Davies ◽  
John R. Colvin

Pain Medicine ◽  
2009 ◽  
Vol 10 (8) ◽  
pp. 1452-1459 ◽  
Author(s):  
Marianna Papaioannou ◽  
Petros Skapinakis ◽  
Dimitris Damigos ◽  
Venetsanos Mavreas ◽  
Georgios Broumas ◽  
...  
Keyword(s):  

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Alan David Kaye ◽  
Matthew B. Novitch ◽  
Sam F. Carlson ◽  
Mitchell C. Fuller ◽  
Shane W. White ◽  
...  

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