La Tunisie médicale
-
La Tunisie médicale · Jun 2008
Randomized Controlled Trial[Effect of intra and postoperative magnesium sulphate infusion on postoperative pain].
Evaluate the effect of intra and postoperative magnesium sulphate infusion on postoperative pain in abdominal surgery. ⋯ The results of the study support magnesium sulphate as useful adjuvant for postoperative analgesia in abdominal surgery.
-
La Tunisie médicale · May 2008
Randomized Controlled TrialClinical benefits related to the combination of ketamine with morphine for patient controlled analgesia after major abdominal surgery.
combination of ketamine may improve morphine patient controlled analgesia (PCA) but clinical results are still equivocal. ⋯ The combination of ketamine with morphine in PCA after major abdominal surgery offers a reduction of the morphine consumption, a reduction of pain scores and a decrease in the incidence of adverse effects.
-
La Tunisie médicale · Feb 2008
Randomized Controlled Trial[A comparison of the effect of oral captopril and nicardipine in hypertensive crisis].
Hypertensive crisis is defined as a severe elevation in blood pressure (BP) without target organ injury. There are few data about the efficacy and safety of comparative oral antihypertensive drugs. ⋯ Oral captopril or nicardipine are efficacy and safe in the treatment of hypertensive crisis.
-
La Tunisie médicale · Feb 2008
Randomized Controlled Trial[Patient controlled epidural analgesia: interest in thoracic surgery].
To compare efficacy of pain control, the consumption of local anaesthetics and opioids as well as the side effects between continuous epidural analgesia, patient controlled analgesia and patient controlled epidural analgesia in thoracic surgery. ⋯ The benefit of patient controlled epidural analgesia in thoracic surgery is proven by the following analgesic efficiency which allows good respiratory rehabilitation, decreasing the risk of drug toxicity by decreases consumption, weak hemodynamic effects and absence of motor block.
-
La Tunisie médicale · Jul 2006
Randomized Controlled Trial Comparative Study Clinical TrialCo-analgesic effect of ketorolac after thoracic surgery.
Thoracotomies are painful surgical procedures and adequate pain relief is associated with improved respiratory function and fewer respiratory complications. After thoracotomy for lung resection, patients received morphine-based patient-controlled analgesia (PCA). Three groups were prospectively and randomised investigated: patients receiving preemptive ketorolac, those given postoperative ketorolac and controls. ⋯ At 48 h after surgery, compared to controls, morphine consumption was 36% lower for the preemptive ketorolac group and 17% lower for postoperative ketorolac group (p < 0.05). No statistically significant differences were observed for pulmonary function tests. These results suggest that non-steroidal anti-inflammatory drugs can reduce the opioid requirements after thoracic surgery but do not improve lung function.