Articles: pain.
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Scand J Thorac Cardiovasc Surg · Jan 1988
Randomized Controlled Trial Comparative Study Clinical TrialReduction of post-thoracotomy pain by cryotherapy of intercostal nerves.
In a prospective study, 144 patients undergoing thoracotomy were randomized to two groups: In 71 cases cryoanalgesia was applied intraoperatively to the intercostal nerves above and below the incision to relieve postoperative pain, and 73 (control group) received bupivacaine-adrenaline intercostal blockade at the end of the operation. The amount of administered narcotic and mild analgesics, the visual analogue pain scores, the need for further intercostal blockade and the number of postoperative bronchoscopies to clear retained secretion were significantly less in the cryoanalgesia group than in the controls. There were no late nerve complications after cryoanalgesia, which is recommended for routine use in thoracotomy.
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Comparative Study Clinical Trial Controlled Clinical Trial
Sufentanil analgesia following cesarean section: epidural versus intravenous administration.
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Randomized Controlled Trial Clinical Trial
Transcutaneous electrical nerve stimulation for pain relief following inguinal hernia repair: a controlled trial.
The efficacy of transcutaneous electrical nerve stimulation (TENS) in relieving postoperative pain has been assessed by means of a prospective randomized controlled trial in 62 male patients undergoing unilateral inguinal herniorrhaphy. Thirty-four patients received TENS and 28 patients received sham TENS for 48 h after the operation. ⋯ We were unable to detect any significant differences in these variables when the two groups were compared. These results do not support the use of TENS.
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Acta psychiatrica Belgica · Jan 1988
ReviewHysteria, depression and the nosological problem of chronic pain.
In this article the nosological relevance of hysteria and depression for somatically unexplained chronic pain is critically discussed. Despite many clinical controversies and methodological problems, it is concluded from the available literature that both concepts merit a place in the psychiatric nosology of chronic pain. Nevertheless, more research is needed to further clarify the complex relationships between hysteria, depression and pain, and to more exactly determine the relative importance of hysterical and depressive features in chronic pain patients.