Bilateral ilioinguinal nerve block decreases morphine consumption in female patients undergoing nonlaparoscopic gynecologic surgery.

Background: Bilateral ilioinguinal nerve block may be useful to control postoperative pain in gynecologic surgery, especially hysterectomy.

Methods: In a prospective, randomized, double-blind study, we compared the combination of ropivacaine and clonidine (block group) versus saline (control group). The main objective of this study was to compare the total dose of morphine required during the first two postoperative days.

Hemodynamic and echocardiographic effects of hemofiltration performed during cardiopulmonary bypass.

Objective: To evaluate the effects of hemofiltration performed during rewarming before emergence from cardiopulmonary bypass on hemodynamic and echocardiographic parameters.

Design: Prospective randomized study; blind analysis of echocardiographic parameters and hemodynamic parameters.

Setting: Single-center study performed in a university hospital.

[Intravenous anesthesia for cesarean section. Comparison of propanidid and methohexital].

Propanidid and methohexital were compared retrospectively to assess the possible neonatal depression following general anesthesia for caesarean section: both have rapid onset and short duration of action and their transplacental passages are similar. Anesthesia was induced with equivalent doses of the two agents in 90 women (45 in each group). For each anesthetic agent, three subgroups were defined according to the indications, depending on emergency criteria and fetal state.

[Labor under peridural anesthesia. Experience at the Maternity Center of the Amiens CHRU].

The study has been carried out on 476 epidural deliveries. 69 per cent of the patients were satisfied. Amongst the 31 per cent of unsatisfied, most claimed that the analgesia was not sufficient, mainly due to delayed re-injections.