Regional anesthesia
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Regional anesthesia · May 1997
Randomized Controlled Trial Comparative Study Clinical TrialPain relief after knee arthroscopy: intra-articular morphine, intra-articular bupivacaine, or subcutaneous morphine?
This investigation was undertaken to compare analgesic effects, side effects, and requirements for supplemental analgesic therapy after knee arthroscopy in patients given intra-articular (IA) or subcutaneous (SC) morphine, intra-articular bupivacaine, or placebo. ⋯ A single 10-mg dose of morphine given either IA or SC provides better and longer-lasting postoperative pain relief after knee arthroscopy than 20 mL IA bupivacaine 0.5% with epinephrine.
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Regional anesthesia · May 1997
Randomized Controlled Trial Comparative Study Clinical TrialUse of preincisional ketorolac in hernia patients: intravenous versus surgical site.
This study was designed to determine whether administration of ketorolac directly in the surgical site results in enhanced analgesia. ⋯ Ketorolac provides enhanced patient comfort when it is administered in the surgical site in patients undergoing inguinal hernia repair. It is recommended that clinicians add ketorolac to the local anesthetic solution in such patients.
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Regional anesthesia · May 1997
Clinical TrialSingle-injection lumbar epidural morphine for postoperative analgesia in children: a report of 175 cases.
Since the first report of epidural opioid administration to pediatric patients, several studies have described the quality of analgesia, doses, pharmacokinetics, and side effects of this procedure. A pediatric series using an easy and cheap single-injection technique of epidural morphine administration for postoperative analgesia is presented. ⋯ This technique is easy to perform, even for trainees in anesthesiology. With appropriate patient selection and avoidance of the concomitant use of narcotics and sedatives, epidural morphine provides prompt, effective, safe, and prolonged analgesia in children.
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Regional anesthesia · May 1997
Letter Historical ArticleThe evolution of combined spinal-epidural anesthesia needles.