Articles: postoperative-pain.
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Clin. Orthop. Relat. Res. · May 1990
Colonic pseudoobstruction associated with patient-controlled analgesia after total joint arthroplasty.
Patient-controlled analgesia (PCA) is a concept that permits patients to administer a prescribed dose of narcotic to themselves when they experience pain. Six patients developed colonic pseudoobstruction after the use of morphine sulfate administered via a PCA infuser. Early recognition and prompt treatment make this a transient, reversible illness. Treatment includes discontinuing the use of the PCA morphine, eliminating oral intake, ensuring adequate hydration and electrolyte balance, placing a nasogastric tube, rolling the patient, and closely observing for signs and symptoms of worsening colonic distention and possible rupture.
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Randomized Controlled Trial Comparative Study Clinical Trial
Bupivacaine added to epidural fentanyl does not improve postoperative analgesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Continuous infusions of lumbar epidural fentanyl and intravenous fentanyl for post-thoracotomy pain relief. I: Analgesic and pharmacokinetic effects.
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Randomized Controlled Trial Comparative Study Clinical Trial
Patient controlled lumbar epidural fentanyl for post thoracotomy pain.
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Randomized Controlled Trial Clinical Trial
Timing of caudal block placement in relation to surgery does not affect duration of postoperative analgesia in paediatric ambulatory patients.
The purpose of this study was to determine if the timing of caudal block placement in relation to surgery affected either the duration of postoperative pain relief or the discharge time in children undergoing brief ambulatory surgical procedures. Forty ASA physical status I or II children ages 18 mo to 11 yr were randomly assigned to one of two groups. Group 1 patients received a caudal block with 0.5 ml.kg-1 of bupivacaine 0.25 per cent following the induction of anaesthesia but before the onset of surgery. ⋯ Pain was assessed at five-minute intervals using an Objective Pain Scale. No statistically significant differences were noted between Group 1 and Group 2 patients with regard to their postoperative pain/discomfort scores, the need for postoperative narcotic analgesia, or the time required for either group to meet standard discharge criteria. It is concluded that the duration of postoperative analgesia is not impaired by placing the caudal block prior to the start of a brief surgical procedure.