Comparative Efficacy of Post-Operative Pain Control Techniques

1991 ◽  
pp. 249-256 ◽  
Author(s):  
B. G. Covino
Keyword(s):  
Pain Control ◽  
Comparative Efficacy ◽  
Control Techniques ◽  
Post Operative Pain

Comparing General Anesthesia with Preemptive IV Atropine vs General Anesthesia with Single Injection Peribulbar Block with Levobupivacaine 0.5% or Lidocaine 2% for Prevention of Oculocardiac Reflex in Children Undergoing Strabismus Surgery: Randomized Control Study

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hani Ali Ezzat ◽  
Galal Adel ElKady ◽  
Melad Ragaey Zekry ◽  
Dalia Ahmed Ibrahim ◽  
Abeer Sameer Salem
Keyword(s):  
General Anesthesia ◽  
General Anaesthesia ◽  
Pain Control ◽  
Strabismus Surgery ◽  
Minor Role ◽  
Oculocardiac Reflex ◽  
Post Operative Pain ◽  
Peribulbar Block ◽  
Successful Group ◽  
Clinically Significant

Abstract Background Strabismus is one of the common health problems among the children. The incidence of the oculocardiac reflex decreases with age and tends to be more pronounced in young, healthy patients, which is clinically significant for pediatric as it is observed with greatest incidence in young healthy neonates and infants undergoing strabismus surgery. Objective to prevent and attenuate the oculocardiac reflex in children age group from (2yrs to 14 yrs) undergoing surgical correction for strabismus. Patients and Methods Three groups were allocated Group C received general anaesthesia combined with pre emptive atropine, Group L received general anaesthesia combined with Peribulbar block with Lidocaine 2 % and Group LB which received general anaesthesia combined with peribulbar block with Levobupivacaine 0.5%. Results In Our study we found that group L which received peribulbar lidocaine 2 % was the most successful group regarding blocking the occurrence of the OCR and with acceptable post operative pain control results. Conclusion In Our study the use of peribulbar block with lidocaine 2 % in combinations with General anaesthesia is very effective against the incidence of OCR in children undergoing strabismus surgery and superior to the Iv pre emptive Atropine with higher surgeon satisfaction while the use of peribulbar levobupivacaine 0.5% combined with general anaesthesia has a great role in post operative pain control with superior patient satisfaction, on the other hand the atropine is a very important emergency drug but our study found that it has a very minor role in both preventing the OCR and post operative pain control in addition to subjecting the patients to the tachycardia and other complications like dryness of the mouth and blushing so its not recommended by our study.

The Hospice Companion

2021 ◽  
Keyword(s):  
Emergency Medicine ◽  
Palliative Care ◽  
Time Use ◽  
Pain Control ◽  
Review Literature ◽  
Evidence Based ◽  
Advanced Illness ◽  
Control Techniques ◽  
Team Meetings ◽  
Common Problems

The Hospice Companion is an evidence-based handbook meant to guide hospice teams in the assessment and management of common problems, situations, conditions, and symptoms encountered in the care of advanced illness patients and their families. It addresses and integrates the practical, biomedical, social, and spiritual issues typically experienced in day-to-day management. It also includes guidance on conducting team meetings, how to structure care, and proper documentation. Chapters conclude with listings of contemporary references from peer-review literature sources for additional reading. Appendices provide more detailed information on several topics, such as advanced pain control techniques, including ketamine and lidocaine infusion protocols. This book is meant for real-time use, both during team meetings and “at the bedside.” The material in this book will also be helpful to those in other related disciplines, including palliative care, hospitalist practice, geriatrics, emergency medicine, and intensive care.

COMBINED SPINAL EPIDURAL ANALGESIA IN LABOUR

2005 ◽  
Vol 16 (1) ◽  
pp. 29-50 ◽  
Author(s):  
MARGO LEWIS ◽  
NICOLA CALTHORPE
Keyword(s):  
Epidural Catheter ◽  
Pain Control ◽  
Rapid Onset ◽  
Motor Blockade ◽  
Operative Delivery ◽  
Single Procedure ◽  
Combined Spinal Epidural ◽  
Post Operative Pain ◽  
Spinal Epidural ◽  
Speed Of Onset

The combined spinal epidural (CSE) as an anaesthetic technique for providing analgesia for labour and anaesthesia for operative delivery has gained in popularity over the last ten years. Essentially the CSE consists of identification of the epidural space and insertion of an epidural catheter plus the initial intentional placement of an intrathecal dose of opioid, local anaesthetic or both, all as a single procedure. Theoretically the technique combines the advantages of the speed of onset and the reliability of block achieved by subarachnoid anaesthesia with the flexibility provided by the presence of an epidural catheter and avoids their individual disadvantages. The complications that may be encountered are those attributable to subarachnoid and epidural anaesthesia individually but some are unique to the CSE technique. The CSE technique is also applicable to other situations in obstetrics where a block is initiated by subarachnoid anaesthesia and its continuation is facilitated by the presence of an epidural catheter, either to maintain anaesthesia for prolonged procedures or for post operative pain control. The CSE's popularity has been ensured by the fact that it has allowed rapid onset analgesia with minimal motor blockade to be provided routinely for mothers in labour.

Ultrasound guided erector spinae plane block for post-operative pain control after caesarean section

2019 ◽  
Vol 58 ◽  
pp. 45-46 ◽  
Author(s):  
Domenico P. Santonastaso ◽  
Annabella de Chiara ◽  
Adriana Addis ◽  
Costantino Mastronardi ◽  
Rita Pini ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Pain Control ◽  
Erector Spinae ◽  
Ultrasound Guided ◽  
Erector Spinae Plane Block ◽  
Post Operative Pain

Pain Control Techniques in College-Age Athletes

1986 ◽  
Vol 59 (3) ◽  
pp. 1163-1169 ◽  
Author(s):  
Eugene F. Gauron ◽  
Wayne A. Bowers
Keyword(s):  
Pain Control ◽  
Control Technique ◽  
Practical Application ◽  
Control Techniques ◽  
College Age ◽  
Minor Injuries

Pain is a part of an athlete's experience. Interventions for nagging minor injuries occurring during training and competition are not reported in the literature. A simple pain-control technique was used to ascertain its effect on minor pain. The intervention significantly reduced reported pain among college-age athletes and a group of nonathletes. Recommendations for research and practical application ate discussed.

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