scholarly journals Efficiency of Epidurally Injected lidocaine, lidocaine and Morphine or Lidocaine and Tramadol for Postoperative Analgesia in Dogs Following Orchiectomy and Ovariohysterectomy

2021 ◽  
Vol 10 (1) ◽  
pp. 13-18
Keyword(s):  
Postoperative Analgesia ◽  
Pain Scale ◽  
Surrounding Tissue ◽  
Epidural Administration ◽  
Single Male ◽  
Male Observer ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
The University

The objective of this study was to evaluate and compare the postoperative analgesia provided by epidural lidocaine, lidocaine and morphine or lidocaine and tramadol in dogs following elective orchiectomy or ovariohysterectomy. Thirty-six clinically healthy dogs, classified as class I and II according to the American Society of Anesthesiologists classification system, were randomly allocated into three groups of 12 each, with six females and six males. The dogs received 4mg/kg of lidocaine combined with 0.01ml/kg of 0.9% NaCl, 0.1mg/kg of morphine or 1.0mg/kg of tramadol epidurally. Postoperative pain was assessed 4, 8, 12, 18 and 24 hours after epidural anaesthesia using the University of Melbourne pain scale (UMPS), by a single male observer who was blinded to the epidural protocol. According to the obtained results, evaluated epidural protocols provided sufficient and comparable postoperative analgesia throughout the complete 24-hours observation period. The appearance of vocalization or painful reaction to palpation of the wound surrounding tissue were absolutely absent. Values of 10 points, or higher, indicating the presence of moderate to severe pain and the necessity of additional analgesia, were not recorded. However, established quality of postoperative analgesia is probably not the sole result of epidural administration of drugs, but also analgesic activity of drugs used for general anaesthesia (xylazine and ketamine), and their mutual synergistic or additive effects.

scholarly journals Postoperative Course After Emergency Colorectal Surgery for Secondary Peritonitis in the Elderly Is Often Complicated by Delirium

2012 ◽  
Vol 97 (2) ◽  
pp. 129-134 ◽  
Author(s):  
Stephan Engelberger ◽  
Manuel Zürcher ◽  
Jochen Schuld ◽  
Carsten Thomas Viehl ◽  
Christoph Kettelhack
Keyword(s):  
Postoperative Delirium ◽  
Statistical Significance ◽  
The Elderly ◽  
Morbidity And Mortality ◽  
University Hospital ◽  
Colorectal Origin ◽  
American Society ◽  
Emergency Colorectal Surgery ◽  
American Society Of Anesthesiologists ◽  
The University

Abstract Postoperative delirium, morbidity, and mortality in our elderly patients with secondary perionitis of colorectal origin is described. This is a chart-based retrospective analysis of 63 patients who were operated on at the University Hospital Basel from April 2001 to May 2004. Postoperative delirium occurred in 33%. Overall morbidity was 71.4%. Surgery-related morbidity was 43.4%. Mortality was 14.4%. There was no statistical significance between delirium, morbidity and mortality (P  =  0.279 and P  =  0.364). There was no statistically significant correlation between the analyzed scores (American Society of Anesthesiologists classification, Mannheimer Peritonitis Index, Acute Physiology and Chronic Health Evaluation score II, physiological and operative surgical severity and enumeration of morbidity and mortality score‚ or short ‚cr-POSSUM’) and postoperative delirium, morbidity or mortality. Postoperative delirium occurred in one-third of the patients, who seem to have a trend to higher morbidity. Even if the different scores already had proven to be predictive in terms of morbidity and mortality, they do not help the risk stratification of postoperative delirium, morbidity, or mortality in our collective population.

scholarly journals Assessing the completeness of perioperative anesthetic record documentation in a tertiary hospital

2020 ◽  
Vol 24 (6) ◽  
Author(s):  
Hayatul Akma Bolhan ◽  
Nurlia Yahya ◽  
Azarinah Izaham ◽  
Wan Rahiza Wan Mat ◽  
Raha Abdul Rahman ◽  
...  
Keyword(s):  
Prospective Observational Study ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Policy Statement ◽  
Anesthetic Record ◽  
Standard Guideline ◽  
Tertiary Care Institution ◽  
American Society ◽  
American Society Of Anesthesiologists

Background and Objective: Many previous studies assessing the completeness of perioperative documentation of surgical patients were reported to be inadequate and unsatisfactory. The aim of this study was to compare the perioperative anesthetic record (PAR) at our tertiary care institution to a standard guideline and have an audit of its completeness. Methodology: It was a prospective, observational study, done in the general operating theater of Universiti Kebangsaan Malaysia Medical Centre (UKMMC). We compared our PAR to the American Society of Anesthesiologists (ASA) policy statement on documentation of anesthesia care. We audited the completeness of PAR documentation of 358 patients by using a self-generated checklist which was created in accordance to the PAR parameters. A total of 44 parameters were studied covering three phases; preoperative, peroperative and post-operative phases. Results: Although the UKMMC PAR varied from the ASA guidelines, various salient parameters were identical in both. None of the perioperative forms were completely filled throughout the three perioperative phases. Out of 44 parameters studied, only 2 parameters were completely filled, which were medications administered and fluid therapy. Conclusion: Parameters given in the UKMMC PAR varied with the ASA guidelines and the documentation was found to be only partially complete. Hence, necessary modification of the current PAR in our institution, and the stress on filling it completely is needed to improve the quality of perioperative anesthetic documentation. Keywords: Audit; Completeness; Perioperative; Anesthetic record; Documentation Citation: Bolhan HA, Yahya N, Izaham A, Mat WRW, Rahman RA, Musthafa QA. Anaesth. pain intensive care 2020;24(6):--- Received: 23 April 2020, Reviewed: 17 August 2020, Revised: 18 October 2020, Accepted: 27 October 2020

scholarly journals A comparative study of different adjuncts to enhance the effects of intrathecal bupivacaine

2017 ◽  
Vol 5 (5) ◽  
pp. 2046
Author(s):  
Debajyoti Sur ◽  
Archana Agarwal ◽  
Ajay Kumar Chaudhary ◽  
Jaishri Bogra ◽  
Prithvi Kumar Singh ◽  
...  
Keyword(s):  
Comparative Study ◽  
Spinal Anaesthesia ◽  
Postoperative Analgesia ◽  
Magnesium Sulphate ◽  
Saline Group ◽  
Total Power ◽  
American Society ◽  
Group D ◽  
Single Blind

Background: Spinal anaesthesia is the commonly used technique for lower abdominal surgeries. Adjuvants to bupivacaine have been used to provide good quality of perioperative and postoperative analgesia. The aim of the study was to evaluate the effects of subarachnoid administration of bupivacaine with clonidine, magnesium, dexmedetomidine and saline group.Methods: The prospective, comparative single blind study included 120 patients in American society of anaesthesiologist (ASA) grade I and II, scheduled for lower abdominal surgeries were allocated in four groups. Each group included 15 mg bupivacaine with various adjuvants (30 µg clonidine, 50 mg magnesium sulphate and 3µg dexmedetomidine) were compared with saline group (group S).Results: Time of onset was earlier in groups D and C but delayed in group M. The total power regains (B0) in group D (250.8±18.87), group M (235.23±24.66) and group C (242.70±25.98) were significantly delayed (p<0.05) as compare with group S (180.07±18.53). Demand of analgesia was significantly earlier in group S as compared with groups C, M and D. Similarly, the time of two segment regression was significantly earlier in group S as compared with groups C, M and D (p<0.001). Patients were hemodynamically stable in groups D, C and M as compared to Group S.Conclusions: Dexmedetomidine and clonidine were equally effective and better as compared to magnesium as an adjunct to intrathecal bupivacaine.

Epidural dexamethasone for postoperative analgesia in patients of carcinoma rectum undergoing lower anterior resection (LAR)

JMS SKIMS ◽  
2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Sheikh Irshad Ahmad ◽  
Gowhar Hameed ◽  
Tanveera Gani ◽  
Tantry Tariq Gani ◽  
Wasim Mohammad Bhat ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Anterior Resection ◽  
Double Blind Study ◽  
Double Blind ◽  
Rescue Analgesia ◽  
Carcinoma Rectum ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
To Receive ◽  
Lower Anterior Resection

Background and Aims: This prospective, randomized, double blind study was undertaken to establish the effect of addition of dexamethasone as an adjunct to epidural ropivacaine in patients of carcinoma rectum undergoing lower anteriorresection. Materials and Methods: Sixty ASA (American Society of Anesthesiologists) class I and II patients undergoing lower anterior resection were enrolled to receive either 6mg or 8mg or 10mg of dexamethasone along with epidural ropivacaine to a total of 10ml test solution in each group for epidural analgesia. Hemodynamic parameters, postoperative analgesia, total requirement of rescue analgesia and adverse events were monitored. Results: Analgesia in the postoperative period was better in Group receiving 10mg of dexamethasone associated with less postoperative rescue analgesic consumption Conclusion: Hence, addition of dexamethasone 10mg to epidural ropivacaine can be advantageous with respect to better postoperative analgesia.

Prior Funding Approval in Orthopaedics

2012 ◽  
Vol 94 (7) ◽  
pp. 234-236
Author(s):  
A Mulligan ◽  
N de Roeck ◽  
L Jeyaseelan
Keyword(s):  
Functional Limitation ◽  
Scoring Systems ◽  
Epidemiological Studies ◽  
Appropriateness Criteria ◽  
Department Of Health ◽  
Related Quality ◽  
Health Related ◽  
American Society ◽  
American Society Of Anesthesiologists

In November 2009 the Bedfordshire and hertfordshire Priorities forum produced guidance on the referral and surgery thresholds for total hip and knee arthroplasties. This guidance is based on sources from the British orthopaedic Association, the American Association of orthopaedic Surgeons, the department of health and epidemiological studies. The guidance relating to thresholds for surgery focuses on assessment of patient symptomatology against appropriateness criteria as described by Quintana et al. These criteria include pain severity, functional limitation, age, bone quality, surgical risk (ASA [American Society of Anesthesiologists] grade) and attempts at non-surgical management. Quintana et al found that those patients thought to have appropriate criteria prior to surgery have a significantly greater improvement in health-related quality of life scoring systems postoperatively.

scholarly journals Intrathecal clonidine added to small-dose bupivacaine prolongs

2013 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Agreta Gecaj-Gashi ◽  
Hasime Terziqi ◽  
Tune Pervorfi ◽  
Arben Kryeziu
Keyword(s):  
Spinal Anesthesia ◽  
Postoperative Analgesia ◽  
Motor Block ◽  
Sensory Block ◽  
Analgesia Requirement ◽  
American Society ◽  
Group B ◽  
Double Blinded ◽  
Intrathecal Clonidine ◽  
American Society Of Anesthesiologists

Introduction: The aim of this prospective, double-blinded studywas to investigate the effects of clonidine in co-administrationwith bupivacaine during spinal anesthesia, regarding the onset and regression of motor and sensory block, postoperative analgesia and possible side effects.Methods: We randomly selected 66 male patients (age 35 to 70), from the American Society of Anesthesiologists (ASA) class I-II; these patients were scheduled for transurethral surgical procedures. These patients were randomly allocated into two groups of 33 patients each: group B (bupivacaine) only received 0.5% isobaric bupivacaine 7.5 mg intrathecally and group BC (bupivacaine + clonidine) received bupivacaine 7.5 mg and clonidine 25 μg intrathecally. We performed the spinal anesthesia at a level of L3-L4 with a 25-gauge needle. We assessed the sensory block with a pinprick,the motor block using the Bromage scale, analgesia with thevisual analog scale and sedation with the modified Wilson scale.We also recorded the hemodynamic and respiratory parameters.Results: The groups were demographically similar. The mean time of achievement of moto block (Bromage 3) and sensory block at level T9 was significantly shorter in the BC group compared with B group (p = 0.002, p = 0.000, respeectively). The motor block regression time was not significantly different between the two groups (p = 0.237). The postoperative analgesia requirement was significantly longer in group BC compared with group B (p = 0.000). No neurological deficit, sedation or other significant adverse effects were recorded.Conclusion: The intrathecal application of clonidine in combination with bupivacaine improves the duration and quality of spinal anesthesia; it also provides longer duration of postoperative analgesia, without significant side effects.

scholarly journals Assessment of Primary Dysmenorrhea and Its Effect on the Quality of Life among Female Students at University of Babylon

2021 ◽  
Author(s):  
Zainab Abdulameer Abdulrasol
Keyword(s):  
Quality Of Life ◽  
Structured Interview ◽  
Pain Scale ◽  
Female Students ◽  
Reproductive Age ◽  
Primary Dysmenorrhea ◽  
Sf 36 ◽  
The University ◽  
The Relationship

Primary dysmenorrhea (PD) is a painful menstrual flow in the absence of any pelvic pathology where pain is spasmodic in character and felt mostly in the lower abdominal area. PD considered as common problem in females at reproductive age, it’s directly affects the quality of life (QoL). The main objective of this study is to find out the relationship between PD and QoL of among female students. Descriptive correlational study design carried out on (145) female students, purposive sampling, and their ages between (18–25) years, participants were selected from four faculties at the University of Babylon. Numeric rating pain scale (11-point scale) was used for assessing pain intensity, QoL has been assessed by the SF-36 health survey (SF-36). Data have been collected by using a structured interview as method of data collection and using questionnaire as study tool. Data were processed and analyzed by using SPSS version (25). The findings of the present study revealed that (62.1%) of respondents reported as severe primary dysmenorrhea. The greatest proportion of female students with fair QoL and (17.9%) with poor QoL. The study’s finding finds out a negative significant correlation between PD intensity and overall QoL scale at P ≤ 0.05 (r = − 0.642, P = 0.000).

scholarly journals Comparison of the effects of buprenorphine and methadone in combination with medetomidine followed by intramuscular alfaxalone for anaesthesia of cats undergoing ovariohysterectomy

2019 ◽  
Vol 22 (2) ◽  
pp. 77-83 ◽  
Author(s):  
Alaleh Mahdmina ◽  
Abigail Evans ◽  
David Yates ◽  
Kate L White
Keyword(s):  
Rating Scale ◽  
Numeric Rating Scale ◽  
Rescue Analgesia ◽  
Parametric Data ◽  
Pain Scales ◽  
Student’S T ◽  
American Society ◽  
Descriptive Scale ◽  
American Society Of Anesthesiologists

Objectives The aim of this study was to compare the quality of anaesthesia and analgesia between methadone and buprenorphine in combination with medetomidine after induction with intramuscular (IM) alfaxalone in cats undergoing ovariohysterectomy. Methods Fifty-one female cats (American Society of Anesthesiologists status I–II), with a median age of 12 months (range 2–60 months), weighing a mean ± SD of 2.5 ± 0.5 kg, were recruited to the study. Cats were randomly allocated to receive medetomidine (600 µg/m2) and buprenorphine (180 µg/m2) (group MB) or medetomidine (500 µg/m2) and methadone (5 mg/m2) (group MM) IM. Anaesthesia was induced 15 mins later using alfaxalone (3 mg/kg) IM. Anaesthesia was maintained with isoflurane in oxygen. All cats received meloxicam preoperatively. Quality of premedication and induction and intraoperative physiological parameters were recorded. Atipamezole (50% of medetomidine dose) was administered at the end of surgery. Cats were assessed postoperatively by the same blinded observer using a simple descriptive scale, numeric rating scale, dynamic interactive visual analogue scale (DIVAS) and UNESP-Botucatu multidimensional composite pain scales, at 10, 20 and 30 mins post-extubation. Parametric and non-parametric data were compared using Student’s t-test or Mann–Whitney U-tests, respectively. Results Forty-one cats completed the study. No significant differences were detected between groups before or during anaesthesia. No cats required rescue analgesia. DIVAS scores at 10 mins were significantly less in the MM group compared with the MB. No differences between groups at any other time points were detected using the four metrology instruments. Conclusions and relevance Both protocols provided good anaesthesia conditions for ovariohysterectomy in the cat.

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