Articles: postoperative-pain.
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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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Anaesth Intensive Care · May 1990
Randomized Controlled Trial Comparative Study Clinical Trial Controlled Clinical TrialComparison of two methods of intravenous administration of morphine for postoperative pain relief.
Morphine sulphate was used for the control of pain following major abdominal surgery for a period of three days either as patient-controlled or continuous infusion. The two groups of patients were comparable with regard to patient and operation details, duration of infusion, pain scores and complications. ⋯ It is suggested that a properly supervised continuous infusion of morphine is as good as patient-controlled administration. There was a negative correlation between the age of the patient and the dose of morphine used.
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Randomized Controlled Trial Clinical Trial
Analgesia and postoperative hypoxaemia after gastric partition with and without bupivacaine wound infiltration.
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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.