effect of transversus abdominis block on decreasing pain following inguinal hernia repair

This study was to evaluate the transversus abdominis plane block for treating pain after inguinal hernia repair operations. This study included 60 patients who were allocated into 2 groups in a random manner r: group b [transversus abdominis plane block,30 patients received transversus abdominis in addition to an intravenous single-injection of morphine 5 mg] and group m [control group, 30 patients received morphine 5mg intravenously]. The patients' degrees of pain were evaluated postoperatively. There were 60 patients, 30 in each group. Postoperatively, pain scores were significantly less in group b than group m. Transversus abdominis block given before operation improves postoperative pain after inguinal hernia

Thoracic paravertebral block and morphine versus morphine alone for post thoracoscopy pain

To evaluate the effect of thoracic paravertebral block and morphine versus morphine alone for thoracoscopic surgeries during the first 4 hours. This study was conducted at King Hussein Medical Center-Amman between August 2009 to August 2010. In this study, 60 patients, were divided into two groups: Group P [paravertebral and morphine] [n=30], patients received thoracic paravertebral block with bupivacaine 0.25% in addition to an intravenous single-injection of morphine, 0.1 mg/kg. Group M [control group] [n=30], patients received morphine; 0.1 mg/kg injection .Pain scores were recorded during the first 4 hours after surgery using visual analogue scale. Also cumulative morphine consumption was recorded during the first 4 hours. The data was analyzed using student's t-test Sixty patients were included in this study, 30 in the paravertebral group [P] and 30 in the control group [M]. Pain scores during the first 4 hours postoperatively were lower in group P than group M. The quantity of morphine administered per patient in the first 4 hours was 10mg [range 0-18mg] in group M and 6mg [range 0-12mg] in group P. Preoperative paravertebral block combined with intravenous morphine improves postoperative pain outcome after thoracoscopic surgeries

Comparison of induction and recovery characteristics of halothane and sevoflurane among infants

The aim of this study was to compare the induction and recovery characteristics associated with Halothane and Sevoflurane anesthesia in infants undergoing herniotomy. A total number of 100 infants who underwent herniotomy at King Hussein Medical Center between July 2008 and February 2009, under general anesthesia were allocated to receive either Sevoflurane [n=50] or Halothane [n=50] anesthesia. Induction times, recovery times and induction and recovery complications were recorded. The time of induction was shorter with Sevoflurane than with Halothane. The incidence of excitement was higher in Sevoflurane group than in Halothane group during both induction and recovery. Recovery time was significantly shorter with Sevoflurane group than halothane group. Sevoflurane, when used for infants, has the advantage of faster speed of induction and more rapid recovery than Halothane, which may make it suitable alternative to the later

Ilioinguinal-Iliohypogastric peripheral nerve block for analgesia after caesarean section

The aim of this study was to examine if there is difference in morphine requirements and pain scores in patients undergoing caesarean section, with and without ilioinguinal - iliohypogastric nerve block. In a randomized, prospective, double blinded study, 60 patients aged 17-38 years, undergoing caesarean section under general anaesthesia were included. Patients were randomized into two groups. The study group [n = 30] had ilioinguinal and iliohypogastric nerve block with 05% bupivacaine bilaterally before skin incision, while the control group [n = 30] received normal saline injection instead of bupivacaine. The time of the study was from October 2004 to August 2005 at Prince AH Ben Al-Hussein Hospital, Karak-Jordan. Postoperatively patients received morphine according to pain scores. Twenty four hour morphine consumption and pain scores at one, four, eight, and 24 hours were recorded. Both pain scores and morphine used were significantly reduced in the study group [P <0.05]. Ilioinguinal-iliohypogastric nerve block can reduce the pain and the amount of morphine required after caesarean section

Analgesia following transurethral resection of prostate using preoperative subarachnoid bupivacaine with neostigmine

The present work was designed to assess the postoperative analgesic efficacy of preoperative subarachnoid bupivacaine block [S.A.B.B] with small added dose of neostigmine in patients undergoing transurethral resection of prostate [T.U.R.P]. This study included 85 male patients, ASA II or III, scheduled for T.U.R.P. under S.A.B.B. According to the adjuvant test solution added to subarachnoid hyperbaric 0.5% bupivacaine 2.8 ml [14mg], patients were randomly allocated into 2 groups: group I [n=41, control] where patients received 1 ml saline 0.9%, while patients in Group II [n=44] received 50 microg of neostigmine. The level of sensory block, motor block; duration to absolute analgesia; first time to use postoperative analgesia; the overall 24 hours and 2 hours interval visual analogue scale [V.A.S.]. Pain score were recorded for 24 hours post-S.A.B.B. Neostigmine 50 microg added to S.A.B.B. significantly increased the duration of motor block. The neostigmine group had a delayed onset of post operative pain and a longer duration to need for first postoperative analgesic than the Control group. Overall 24-h V.A.S. pain scores were significantly higher in the control group versus the neostigmine group. There was no significant difference in maximal level of sensory block among the two groups. S.A.B.B. is appropriate to use in T.U.R.P. Neostigmine added to S.A.B.B. produced absolute postoperative analgesia lasting 8 hours with improvement in the quality of S.A.B.B