Few studies evaluated POUR in spine surgery, and a majority of those are retrospective case study and factors reported to have an association with the development of POUR include age, diabetes, opioid administration, anaesthesia type, perioperative analgesia
, intravenous (IV) fluid volume, comorbid medical and surgical conditions, and surgery duration.
Quadratus lumborum block: an effective method of perioperative analgesia
in children undergoing pyeloplasty.
For the scope of our study, we selected all applications submitted to the participating competent authorities in 2010 that included recovery surgical procedures in mice and rats to assess appropriateness of anesthesia, perioperative analgesia
, and postoperative care.
The Analgesia Nociception Index (ANI), which measures parasympathetic tonus under anesthesia, has arisen as a new parameter for the balance of nociception and analgesia, and thereby the adequacy of perioperative analgesia
. Analgesia Nociception Index is a numeric value from 0 to 100 that reflects the parasympathetic tonus obtained by evaluating fluctuations in the R-R interval on electrocardiography with each respiratory cycle.
The immediate perioperative analgesia
was managed with dipyrone at a dose of 30 mg/kg, morphine in boluses of 1.5mg titrated down to a pain level below 4/10.
Superior perioperative analgesia
with combined femoral-obturatorsciatic nerve block in comparison with posterior lumbar plexus and sciatic nerve block for ACL reconstructive surgery.
. The standard anaesthetic technique for elective CS procedures in our institution is spinal anaesthesia with 7.5 mg hyperbaric bupivacaine and 5mcg sufentanil, which provides sufficient analgesia maximally 4 hours after the surgery.
Appropriate perioperative analgesia
is a fundamental component of enhanced recovery after surgery [19, 20].
As such, there has been a multimodal approach to short acting perioperative analgesia
, including short acting epidural and spinal anesthestics with elimination of pain catheters, Foley catheters, and long acting motor blockades.
Adequate perioperative analgesia
reduces the risk of chronic pain.
with subarachnoid fentanyl-bupivacaine for cesarean delivery.
A systematic review of randomized trials by Joshi and colleagues noted that the efficacy of thoracic epidural combining local anesthetic and opioid is established for decreasing acute postthoracotomy pain, but it remains unclear if perioperative analgesia
is related to the development of PTPS .