Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Mar 2005
Randomized Controlled Trial Clinical TrialDecreased postpartum use of oral pain medication after a single dose of epidural morphine.
Pain after vaginal delivery may result from episiotomy, perineal laceration, or uterine involution. Many women have indwelling epidural catheters in place at delivery. We hypothesized that a small dose of epidural morphine would be an effective strategy for postpartum analgesia. ⋯ These results suggest that epidural morphine decreases the need for oral pain medication in the first 24 hours postpartum. No significant dose-dependent side effects were found.
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Reg Anesth Pain Med · Mar 2005
Randomized Controlled Trial Comparative Study Clinical TrialAnalgesia after arthroscopic rotator cuff repair: subacromial versus interscalene continuous infusion of ropivacaine.
A continuous infusion of local anesthetic in the subacromial space has been shown to provide superior pain relief compared with placebo. This technique has been considered as an alternative to a continuous interscalene infusion. The aim of our study is to compare these 2 techniques for pain relief after arthroscopic rotator cuff repair. ⋯ After arthroscopic rotator cuff repair, continuous interscalene block provides better analgesia compared with continuous subacromial infusion but with an increased incidence of minor side effects.
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Reg Anesth Pain Med · Mar 2005
The early recovery of cognitive function after total-hip replacement under hypotensive epidural anesthesia.
Recovery of cognitive function immediately after major surgery has not been previously reported, partly because of residual drug effects and pain. ⋯ The Stroop Color and Word Test can be used to assess change in cognitive function immediately after surgery. Total-hip replacement performed under regional anesthesia with propofol sedation enables recovery of cognitive function (as assessed by SCWT) 2 hours after surgery.