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Multimodal analgesia

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The analgesic efficacy of ultrasound-guided transversus abdominis plane (TAP) block combined with oral multimodal analgesia in comparison with oral multimodal analgesia after caesarean delivery: A randomized controlled trial

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The analgesic efficacy of ultrasound-guided transversus abdominis plane (TAP) block combined with oral multimodal analgesia in comparison with oral multimodal. analgesia after caesarean delivery: a randomized controlled trial. Background: The transversus abdominis plane (TAP) block is used increasingly in parturients after caesarean delivery.

Effect of surgical pleth index-guided analgesia versus conventional analgesia techniques on fentanyl consumption under multimodal analgesia in laparoscopic cholecystectomy: A prospective, randomized and controlled study

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Effect of surgical pleth index-guided analgesia versus conventional analgesia. Background: The Surgical Pleth Index (SPI) is an objective tool that can reflect nociception-antinociception balance and guide the use of intraoperative analgesics. Multimodal analgesia, including local infiltration of the surgical incision, nonsteroidal anti-inflammatory drugs and opioids, was adopted perioperatively..

The impact of multimodal analgesia based enhanced recovery protocol on quality of recovery after laparoscopic gynecological surgery: A randomized controlled trial

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Conclusion: For minimally invasive laparoscopic gynecological surgery, multimodal analgesia based enhanced recovery protocol offered better pain relief, lower opioid use, earlier ambulation, faster bowel function recovery and higher patient satisfaction, while no improvement in QoR-40 score was found.. Keywords: Multimodal analgesia, Laparoscopy, Gynecological, Quality of recovery.

Analgesia and patient comfort after enhanced recovery after surgery in uvulopalatopharyngoplasty: A randomised controlled pilot study

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Thus, in this study we emphasised the multimodal analgesia in the ERAS protocol for UPPP.. Multimodal analgesia is the essential part of the ERAS protocol. Compared with the control group, the ERAS protocol significantly relieved pharyn- geal pain in both resting and swallowing conditions after UPPP (all P <. Xie et al. Table 4 The VAS score of postoperative pain and patient comfort of the ERAS and control groups. ERAS Group.

Postoperative analgesia for pediatric craniotomy patients: A randomized controlled trial

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The main analgesic methods advocated in current studies are multimodal analgesia and Table 5 Univariate Logistic Regression Analysis Of Influencing Factors Of Pain Scores For 1 – 12 Years Old Patients. PCIA or NCIA analgesia [5, 7]. Chiaretti [22] found PCIA with fentanyl plus midazolam could ef- fectively relieve postoperative pain in pediatric neurosur- gery. In this study, we enrolled pediatric patients in the range of 1–12 years of age.

Effectiveness of wound infusion of 0.2% ropivacaine by patient control analgesia pump after minithoracotomy aortic valve replacement: A randomized, double-blind, placebo-controlled trial

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Background: Local anesthetic wound infusion has become an invaluable technique in multimodal analgesia. The effectiveness of wound infusion of 0.2% ropivacaine delivered by patient controlled analgesia (PCA) pump has not been evaluated in minimally invasive cardiac surgery. We tested the hypothesis that 0.2% ropivacaine wound infusion by PCA pump reduces the cumulative dose of opioid needed in the first 48 h after minithoracothomy aortic valve replacement (AVR)..

Effectiveness of analgesia with hydromorphone hydrochloride for postoperative pain following surgical repair of structural congenital malformations in children: A randomized controlled trial

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Patient- controlled analgesia in the pediatric population: morphine versus hydromorphone. Boric K, Dosenovic S, Jelicic Kadic A, Batinic M, Cavar M, Urlic M, et al.. Interventions for postoperative pain in children: An overview of system- atic reviews. Randomized comparison of effectiveness of unimodal opioid analgesia with multimodal analgesia in post-cesarean section pain management. Postoperative analgesia for cleft lip and palate repair in children.

The analgesic efficacy compared ultrasound-guided continuous transverse abdominis plane block with epidural analgesia following abdominal surgery: A systematic review and meta-analysis of randomized controlled trials

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Therefore, TAP block is usually combined with NSAIDs to participate in multimodal analgesia [13, 34].. Continuous TAP block analgesia does not cause urin- ary retention compared with EA postoperatively. Moreover, it was extremely difficult to blind patients and clinicians, when we were conduct- ing a TAP block performance, but we judge that this lack of blindness is unlikely to affect our primary.

The use of perineural dexamethasone and transverse abdominal plane block for postoperative analgesia in cesarean section operations under spinal anesthesia: An observational study

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The transversus abdominis plane block: a valuable option for postoperative analgesia?. Efficacy of Transversus Abdominis plane (TAP) block as part of multimodal analgesia after cesarean section deliv- ery. Role of transversus abdominis plane block after caesarean delivery. Should we stop doing blind transversus abdominis plane blocks? Br J Anaesth.

Ultrasound-guided parasternal intercostal nerve block for postoperative analgesia in mediastinal mass resection by median sternotomy: A randomized, double-blind, placebo-controlled trial

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This study adopted a multimodal analgesia regimen, including opioids, nonopioid analgesics and a nerve block for optimal pain relief, and was successful in achieving good patient satisfaction with low postoperative adverse events. The USG parasternal intercostal nerve block averted the negative side effects observed with other postoperative analgesia modalities, and epidural an- algesia and paravertebral block, in cardiac surgery patients..

Quadratus lumborum block versus transversus abdominis plane block for postoperative analgesia in patients undergoing abdominal surgeries: A systematic review and meta-analysis of randomized controlled trials

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Intermittent bilateral anterior sub-costal quadratus lumborum block for effective analgesia in lower abdominal surgery. Role of Multimodal Analgesia in the Evolving Enhanced Recovery after Surgery Pathways.. Ultrasound-guided transversus abdominis plane (TAP) block. Quadratus Lumborum block.. Transversus Abdominis plane block as analgesic technique for postoperative pain management after cesarean section: no more? Reg Anesth Pain Med.

Comparison of preemptive paracetamol, paracetamol-diclofenac & paracetamoltramadol combination on postoperative pain after elective abdominal surgery under general anesthesia, Ethiopia: A randomized control trial study, 2018

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Preemptive multimodal analgesia for postoperative pain management after lumbar fusion surgery: a randomized controlled trial

The analgesic efficacy and safety of periarticular injection versus intra-articular injection in one-stage bilateral total knee arthroplasty: A randomized controlled trial

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The comparison of local infiltration analgesia with peripheral nerve block following Total knee Arthroplasty (TKA): a systematic review with meta-analysis. Comparison of peripheral nerve block with periarticular injection analgesia after total knee arthroplasty: a randomized, controlled study. Comparison of local infiltration of analgesia and sciatic nerve block in addition to femoral nerve block for total knee arthroplasty. A multimodal analgesia protocol for total knee arthroplasty.

The effect of intraoperative lidocaine infusion on opioid consumption and pain after totally extraperitoneal laparoscopic inguinal hernioplasty: A randomized controlled trial

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Therefore, a multimodal analgesia regi- men is recommended in the perioperative setting as it provides superior analgesia and reduces opioid require- ment [3]. IV lidocaine at the doses between 1.5–3 mg. Additional benefits of lidocaine infusion include a reduction in the incidence of postoperative nausea and vomiting, early return of bowel motility and improved quality of recovery [8]..

Continuous Adductor Canal Block used for postoperative pain relief after medial Unicondylar Knee Arthroplasty: A randomized, double-blind, placebocontrolled trial

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A multimodal analgesia protocol for total knee arthroplasty. Best multimodal analgesic protocol for total knee arthroplasty. Femoral nerve block improves analgesia outcomes after total knee arthroplasty: a meta-analysis of randomized controlled trials. Effectiveness and weakness of local infiltration analgesia in total knee arthroplasty: a systematic review. Femoral nerve block versus Adductor Canal block for analgesia after Total Knee arthroplasty.

Gradual withdrawal of remifentanil delays initial post-operative analgesic demand after thyroid surgery; double-blinded, randomized controlled trial

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This could be explained by the fact that a well-timed multimodal anal- gesia plan was applied to both groups. Though the difference in immediate post-operative NRS values between both groups was not statistically significant, some interesting observations can be made.. While both groups benefitted from the same periopera- tive multimodal analgesia strategy, raw NRS values Table 2 Initial demand of post-operative analgesic, morphine consumption, QoR-40 scores, NRS values (24 h).

The intraoperative use of non-opioid adjuvant analgesic agents: A survey of anaesthetists in Australia and New Zealand

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Non-opioid multimodal analgesia refers to paraceta- mol, non-steroidal anti-inflammatory drugs (NSAIDs), regional and local anaesthesia. Non-opioid Adjuvant drugs include N-Methyl-D-aspartate receptor (NMDA) receptor antagonists (e.g. After finding that the non-opioid adjuvants were sparingly used, we decided to survey anaesthetists across Australia and New Zealand to see if this was a pattern reflected across the two countries..

The impact of ultrasound-guided bilateral rectus sheath block in patients undergoing cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy — a retrospective study

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Reducing postoperative opioid consumption by adding an ultrasound-guided rectus sheath block to multimodal analgesia for abdominal cancer surgery with midline incision. Postoperative analgesia of ultrasound guided rectus sheath catheters versus continuous wound catheters for colorectal surgery: A randomized clinical trial. Research on the efficacy of the rectus sheath block method. Epidural analgesia for cytoreductive surgery with. peritonectomy and heated intraperitoneal chemotherapy.

Analgesic efficacy and safety of erector spinae plane block in breast cancer surgery: A systematic review and metaanalysis

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One recent systematic review reported that ESPB could de- crease postoperative pain and opioid consumption when used as a part of multimodal analgesia in patients after breast surgery [35]. The results of our meta-analysis showed that, except for 1 h after surgery, ESPB com- bined with GA significantly reduced opioid consumption 6-24 h after breast surgery compared with GA alone..

Analgesic effect of the ultrasound-guided subcostal approach to transmuscular quadratus lumborum block in patients undergoing laparoscopic nephrectomy: A randomized controlled trial

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As an important element of the multimodal analgesia program, regional block is a type of analgesia with high safety and less adverse effects [18].