Postcesarean analgesia: the efficacy of bupivacaine wound instillation with and without supplemental diclofenac.

Study Objective: To assess the analgesic efficacy of diclofenac when administered as an adjuvant to bupivacaine wound instillation.

Design: Prospective, randomized, double blind, placebo-controlled study.

Setting: Large referral hospital.

The frequency and timing of respiratory depression in 1524 postoperative patients treated with systemic or neuraxial morphine.

Study Objective: To describe the frequency and timing of intravenous patient-controlled analgesia (IV-PCA) or neuraxial morphine-induced postoperative respiratory depression.

Design: Audit of data captured by routine quality assurance of the acute pain protocols that were implemented by nurses performing routine postoperative care.

Setting: The surgical wards of a university-affiliated, 700-bed, tertiary hospital.

Establishing a nurse-based, anesthesiologist-supervised inpatient acute pain service: experience of 4,617 patients.

Study Objective: To describe our nurse-based Acute Pain Services (APS) and present the results of 4617 patients treated by our service.

Design: Descriptive audit.

Setting: Large referral hospital.

The postoperative analgesic efficacy of wound instillation with ropivacaine 0.1% versus ropivacaine 0.2%.

Study Objectives: To assess the influence of ropivacaine concentration on wound instillation-induced postoperative analgesia following total abdominal hysterectomy with bilateral salpingo-oophorectomy.

Design: Prospective, randomized, double-blind study.

Setting: Large referral hospital.

A comparison of three techniques for acute postoperative pain control following major abdominal surgery.

Study Objectives: To compare the analgesic efficacy of a nonsteroidal antiinflammatory drug (NSAID) alone (basic pain treatment) with that of NSAID in conjunction with either intravenous (IV) patient-controlled analgesia (IV-PCA) or intermittent epidural morphine (epidural morphine), among patients recovering from major intraabdominal surgery; and to assess the fixed and variable costs of providing the respective acute pain treatment modalities.

Design: Prospective, nonrandomized study.

Setting: Postanesthesia care unit (PACU) and surgical departments of a large referral hospital.

Patient-controlled bupivacaine wound instillation following cesarean section: the lack of efficacy of adjuvant ketamine.

Study Objective: To assess the analgesic efficacy of ketamine when administered as an adjuvant to bupivacaine for patient-controlled wound instillation following cesarean section.

Design: Prospective, randomized, double-blind study.

Setting: Large referral hospital.