Cahiers d'anesthésiologie
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This article will briefly review the techniques of epidural anaesthesia via lumbar and sacral routes, as well as the indications and contraindications of the techniques. Guidelines for per- and postoperative use of epidural anaesthesia are provided.
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Regional anaesthesia is more and more popular in pediatrics. Many arguments plead for its use. ⋯ So is the quality of intra- and postoperative analgesia. In addition, the few number of complications is also an advantage of regional blocks in children.
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Wound infiltration with a local anaesthetic may be used either to provide anaesthesia for superficial surgery or for postoperative pain relief. In the latter situation, its efficacy is real but remains moderate and usually requires a combination with other analgesics. Ilio-iguinal and ilio-hypogastric block has been shown to have an analgesic efficacy close to that obtained with a wound infiltration but the duration of analgesia may be longer. These blocks remain unfrequently used in adults.
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Cahiers d'anesthésiologie · Jan 1995
Review[Optimal use of the administration of morphine derivatives].
During the postoperative period, the efficacy of opioid treatment is different among patients. Indeed, an extreme variability exists between patients, concerning their analgesic requirement and their sensibility to opioids. ⋯ The combination of different analgesics must be prescribed systematically, if there is no contraindication. 3) Opoid side effects must be appropriately treated, in order to improve the quality of analgesia. These simple measures require regular evaluation of opioid analgesia, and treatment of the side effects.