chronic pain after inguinal hernia repair is an adverse outcome that affects
about 12 % to 54 % of patients. Ilioinguinal and iliohypogastric ( IG – IH ) nerve block has been widely
used in patients undergoing inguinal hernia repair.
Ketorolac is
indicated for the short term (less than 5 days)management of pain and appears to be
particularly useful in the immediate postoperative period. A standard dose of Ketorolac provides
analgesia equivalent to 6 – 12 mg of morphine administered by the same route. The interval to onset is
also similar to morphine, but Ketorolac has a longer duration of action (6 – 8 h).
what is the best method for pain management after inguinal procedures? Is there any difference between
(IG – IH) nerve block, and Ketorolac IV postoperatively (pain scores, early movement, nausea, vomiting
...)?
Alleviating pain in children is one of the most exciting and rewarding of
professional activities . pediatric regional anesthesia is receiving its deserved attention as an excellent
technique for a balanced intraoperative anesthesia as well as post
operative analgesia .
Continuous caudal block provides adequate duration of analgesia, not only for lower limb and lower
abdominal surgeries, but also for upper abdominal and thoracic surgery , conserving the haemodynamic
stability .
بينا في دراسة سابقة أن فقدان الشعور بالألم المحرض بالكرب السباحي (السباحة في مياه باردة
١٧ مئوية لمدة ١٠ دقائق) مرتبط بآليات أفيونية و غير أفيونية الوساطة. يهدف البحث الحالي إلى دراسة
آلية فقدان الشعور بالألم (اختبار الزمن الكامن لسحب الذيل) المحرض
بالكرب السباحي الأقل وطأة
(السباحة في مياه باردة ١٧ مئوية لمدة ٤ دقائق) و التوصل إلى إثبات تجريبي إضافي يظهر علاقة
هرمونات قشر الكظر المحرضة بالكرب بهذه الآلية والكشف عن بعض جوانب هذه العلاقة عند جرذان Wistar.
