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Query: UMLS:C0030201 (Postoperative pain)
 1,085 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Relief of pain after tonsilloadenoidectomy in preschool children is the precondition of good postoperative recovery of that group of patients. The aim of this project is to study, to estimate and to relieve the pain. It focuses on dosage and ways of using medication, and establish the difference between Paracetamol and Ibuprofen i.e. their respective effects after oral, rectal or rectal-oral application. This (prospective/open-ended) study included 50 children recovering from tonsilloadenoidectomy, 5.7 years of age on average, classified into 5 groups according to medication used and method of treatment. Postoperative pain was evaluated using accepted anaesthesiological criteria with 3 scales of pain estimation: cognitive, behavioral and vegetative, also taking into consideration side effects and liquid intake. In this study Ibuprofen proved to be a stronger, more efficient and longer active drug compared to Paracetamol. There was no irritation in the digestive system and there was a small number of side effects. In conclusion, using Ibuprofen first orally then rectally proved to provide a quick and long painless period of postoperative recovery provided that children do not swallow it.
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PMID:[Relief of pain after tonsillo-adenoidectomy in preschool-age children ]. 1239 63

The aim of the present study was to evaluate the postoperative opioid-sparing effect of a pre-operative nonsteroidal anti-inflammatory drug (NSAID) (ibuprofen) vs paracetamol in a prospective, double-blind, placebo-controlled study. It was also investigated whether the use of ibuprofen or paracetamol would influence the amount of surgical bleeding. Sixty-six women scheduled for elective open hysterectomy were randomized into one of three groups. All patients received premedication (diazepam 10 mg) and test drugs orally 1 h before the start of anaesthesia: Group 1 (n=23) received 800 mg ibuprofen; Group 2 (n=22) received 1000 mg paracetamol; and Group 3 (n=21) received placebo. General anaesthesia was given with thiopentone-fentanyl-atracurium induction, and maintained with nitrous oxide-isoflurane. Postoperatively, the patients were evaluated hourly during the recovery period, and 1 and 4 days after the procedure. Postoperative pain was measured by visual analogue scale (VAS), verbal pain score and the need of standardized opioid rescue medication. Intra-operative bleeding was measured, as well as reduction in blood haemoglobin content 24 h and 4 days after the procedure. No differences were found between the groups in postoperative pain measured by any variable or opioid consumption at any time. The amount of surgical bleeding was equal in the three groups. Ibuprofen or paracetamol given pre-operatively to hysterectomy patients do not have a postoperative analgesic or opioid-sparing effect. Perioperative surgical bleeding is not influenced by these drugs.
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PMID:No analgesic effect of ibuprofen or paracetamol vs placebo for hysterectomies. 1510 26

Auricular acupuncture (AA) is effective in treating various pain conditions, but there have been no analyses of AA for the treatment of pain after ambulatory knee surgery. We assessed the range of analgesic requirements under AA after ambulatory knee arthroscopy. Twenty patients randomly received a true AA procedure (Lung, Shenmen and Knee points) or sham procedure (three non-acupuncture points on the auricular helix) before ambulatory knee arthroscopy. Permanent press AA needles were retained in situ for one day after surgery. Post-operative pain was treated with non-steroidal anti-inflammatory ibuprofen, and weak oral opioid tramadol was used for rescue analgesic medication. The quantity of post-operative analgesics and pain intensity were used to assess the effect of AA. The incidence of analgesia-related side effects, time to discharge from the anesthesia recovery room, heart rate and blood pressure were also recorded. Ibuprofen consumption after surgery in the AA group was lower than in the control group: median 500 versus 800 mg, P = 0.043. Pain intensity on a 100 mm visual analogue scale for pain measurement and other parameters were similar in both groups. Thus AA might be useful in reducing the post-operative analgesic requirement after ambulatory knee arthroscopy.
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PMID:Auricular Acupuncture for Pain Relief after Ambulatory Knee Arthroscopy-A Pilot Study. 1593 59