5 research outputs found
Postoperative pain relief following abdominal operations: A prospective randomised study of comparison of patient controlled analgesia with conventional parenteral opioids
BACKGROUND: Parenteral opioids are traditionally used for pain
management following abdominal operations. Patient Controlled Analgesia
(PCA) is replacing the conventional method for postoperative pain
relief nowadays. AIMS: To find out the effectiveness of PCA in
postoperative pain relief following abdominal operations. SETTINGS AND
DESIGN: This prospective randomised study was conducted in the
Jawaharlal Institute of Post Graduate Medical Education and Research,
Pondicherry, India. MATERIALS AND METHODS: Sixty-two consecutive
patients undergoing abdominal operations were randomly divided into PCA
group (n=32) who received intravenous PCA morphine and IM group (n=30)
who received conventional intramuscular morphine in the postoperative
period. Morphine consumption, pain relief, detailed pulmonary function
tests and side-effects of morphine were assessed. STATISTICAL ANALYSIS:
This was performed by "Epi Info 2000 version 6". Chi-square and
Students 't' tests were used to relate the variables. RESULTS: The
total morphine consumption of the PCA group was significantly lesser
than IM group (mean 30.84 mg versus 37.36 mg P-0.015) and it was less
at different intervals in the postoperative period. The PCA group had
better pain relief when compared to the IM group (mean pain score 3.42
versus 4.97 P<0.001). Pulmonary function parameters did not show a
significant difference at different intervals in the postoperative
period except for Peak Expiratory Flow Rate. None of the patients had
major morphine-related complications. CONCLUSIONS: Intravenous PCA
provides better pain relief with less morphine consumption as compared
to the conventional IM method. Recovery of postoperative pulmonary
functions showed no significant difference in the two groups apart from
Peak Expiratory Flow Rate, which showed significant early recovery in
the PCA group
Postoperative pain relief following abdominal operations: A prospective randomised study of comparison of patient controlled analgesia with conventional parenteral opioids
BACKGROUND: Parenteral opioids are traditionally used for pain
management following abdominal operations. Patient Controlled Analgesia
(PCA) is replacing the conventional method for postoperative pain
relief nowadays. AIMS: To find out the effectiveness of PCA in
postoperative pain relief following abdominal operations. SETTINGS AND
DESIGN: This prospective randomised study was conducted in the
Jawaharlal Institute of Post Graduate Medical Education and Research,
Pondicherry, India. MATERIALS AND METHODS: Sixty-two consecutive
patients undergoing abdominal operations were randomly divided into PCA
group (n=32) who received intravenous PCA morphine and IM group (n=30)
who received conventional intramuscular morphine in the postoperative
period. Morphine consumption, pain relief, detailed pulmonary function
tests and side-effects of morphine were assessed. STATISTICAL ANALYSIS:
This was performed by "Epi Info 2000 version 6". Chi-square and
Students 't' tests were used to relate the variables. RESULTS: The
total morphine consumption of the PCA group was significantly lesser
than IM group (mean 30.84 mg versus 37.36 mg P-0.015) and it was less
at different intervals in the postoperative period. The PCA group had
better pain relief when compared to the IM group (mean pain score 3.42
versus 4.97 P<0.001). Pulmonary function parameters did not show a
significant difference at different intervals in the postoperative
period except for Peak Expiratory Flow Rate. None of the patients had
major morphine-related complications. CONCLUSIONS: Intravenous PCA
provides better pain relief with less morphine consumption as compared
to the conventional IM method. Recovery of postoperative pulmonary
functions showed no significant difference in the two groups apart from
Peak Expiratory Flow Rate, which showed significant early recovery in
the PCA group
Comparison of clinical tests and doppler ultrasound in the preoperative assessment of lower extremity varicose veins
Introduction: Varicose vein of the lower extremity is a very common problem and is associated with severe morbidity if left untreated. Recurrence is inevitable if preoperative assessment of incompetence is not accurate. This study aims to compare the accuracy of clinical tests and Doppler ultrasound in the localization of incompetence with the Turner Warwicks bleed back sign at operation. Materials and Methods: This is a prospective study of patients with lower limb varicose veins admitted to the department of general surgery. 53 limbs were studied in 50 patients. They were evaluated by clinical tests and Doppler ultrasound. Results: Saphenofemoral incompetence was correctly diagnosed in all 53 limbs both by clinical test and Doppler ultrasound. In the evaluation of perforator competency, the sensitivity was 82.93% by clinical tests and 97.56% by Doppler ultrasound. Conclusion: Doppler ultrasound evaluation of the varicose veins should be done for accurate diagnosis in all patients before planning surgery