Narcotic Analgesics and Aggression

2015 ◽  
pp. 114-138 ◽  
Author(s):  
Gerald Gianutsos ◽  
Harbans Lal
Keyword(s):  
Narcotic Analgesics

Combined Extended High Spinal Anesthesia and Endotracheal Narcosis: a Clinical Case

2019 ◽  
Vol 4 (2) ◽  
pp. 152-154
Author(s):  
A. B. Yakushevsky ◽  
A. N. Plekhanov ◽  
A. B. Ayusheev
Keyword(s):  
Abdominal Surgery ◽  
Spinal Anesthesia ◽  
Postoperative Period ◽  
Initial Dose ◽  
Clinical Case ◽  
Central Hemodynamics ◽  
Narcotic Analgesics ◽  
Spinal Catheter ◽  
The Right ◽  
Endotracheal Anesthesia

Background. In recent years, various methods of combined anesthesia during abdominal surgery have been introduced into clinical practice.Aim. To demonstrate the possibilities of a combination of high prolonged spinal anesthesia and endotracheal anesthesia during abdominal surgery.Materials and methods. A clinical case of combined use of high prolonged spinal anesthesia and endotracheal anesthesia in a 48-year-old patient with a tumor in the right half of the ascending part of the right half of the colon is presented.Results. The patient received a puncture of the spinal space at a standard point and was installed a spinal catheter in the cranial direction for 3 cm. An isobaric solution of marcaine in the initial dose of 20 mg was injected into the catheter. The regulation of the development of the block was regulated by the inclination of the head end of the table by 60°. After that endotracheal anesthesia was performed on the basis of fentanyl and propofol. This combination allowed to expand the scope of surgical intervention, provided adequate pain relief intraoperatively and in the postoperative period, without the use of narcotic analgesics. With the appearance of signs of recovery of pain sensitivity, intraoperatively or in the postoperative period, re-introduction of the anesthetic into the spinal catheter was performed in half of the initial dose with liquor barbotage. In the early postoperative period, the patient was on strict bed rest with a head end of the bed raised at 30–45°. The method provides complete segmental blockade and muscle relaxation in the area of operation, stability of central hemodynamics during surgery and in the postoperative period.Conclusion. This type of anesthesia is more easily tolerated by patients, accompanied by early awakening and extubation, characterized by stability of central hemodynamics, reduced risk of complications, the possibility of prolonging anesthesia with lower doses of narcotic analgesics in the intraoperative period, providing high-quality anesthesia in the postoperative period without resorting to the use of narcotic analgesics.

scholarly journals Hypodermoclysis for the administration of fluids and narcotic analgesics in patients with advanced cancer

1990 ◽  
Vol 5 (4) ◽  
pp. 218-220 ◽  
Author(s):  
Eduardo Bruera ◽  
Mary Ann Legris ◽  
Norma Kuehn ◽  
Melvin J. Miller
Keyword(s):  
Advanced Cancer ◽  
Narcotic Analgesics

Pharmacological Studies of 1-(p-Chlorophenyl)propanol and 2-(1-Hydroxy-3-butenyl)phenol: Two New Non-narcotic Analgesics Designed by Molecular Connectivity

1997 ◽  
Vol 49 (1) ◽  
pp. 10-15 ◽  
Author(s):  
F. J. GARCÍA-MARCH ◽  
R. GARCÍA-DOMENECH ◽  
J. GÁLVEZ ◽  
G. M. ANTÓN-FOS ◽  
J. V. JULIÁN-ORTIZ ◽  
...  
Keyword(s):  
Molecular Connectivity ◽  
Narcotic Analgesics ◽  
Pharmacological Studies

Comparison of Postoperative Pain between Laser-Assisted Uvulopalatoplasty, Uvulopalatopharyngoplasty, and Radiofrequency Volumetric Tissue Reduction of the Palate

2000 ◽  
Vol 122 (3) ◽  
pp. 402-409 ◽  
Author(s):  
Robert J. Troell ◽  
Nelson B. Powell ◽  
Robert W. Riley ◽  
Kasey K. Li ◽  
Christian Guilleminault
Keyword(s):  
Quantitative Assessment ◽  
Sleep Disordered Breathing ◽  
The Other ◽  
Narcotic Analgesics ◽  
Pain Medications ◽  
Pain Scales ◽  
Analgesic Medication ◽  
The Mean ◽  
Radiofrequency Volumetric Tissue Reduction ◽  
Tissue Reduction

OBJECTIVES: This study compares the posttreatment discomfort between laser-assisted uvulopalatoplasty (LAUP), uvulopalatopharyngoplasty (UPPP), and radiofrequency volumetric tissue reduction (RFVTR) of the palate through the use of visual analog pain scales and a quantitative assessment of the analgesic medication taken. METHODS: In one group, LAUP (n = 10) or UPPP (n = 9) was used to treat patients' snoring or sleep-disordered breathing (SDB), and the other group underwent RFVTR (n = 22). RESULTS: The mean numbers of days with pain after RFVTR, LAUP, and UPPP were 2.6, 13.8, and 14.3 days, respectively. Narcotic analgesics were required in the RFVTR, LAUP and UPPP groups in 9%, 100%, and 100% of the subjects, respectively. The mean number of these days requiring narcotic pain medications for RFVTR, LAUP, and UPPP was 0.2, 11.8, and 12.4 days, whereas the total narcotic equivalent was 0.3, 7.4 and 29.6 days, respectively. CONCLUSION: RFVTR of the soft palate produced less posttreatment pain than LAUP or UPPP. LAUP and UPPP appeared to show little difference in the severity or duration of posttreatment discomfort.

Muscular Fibrosis Due to Chronic Intramuscular Administration of Narcotic Analgesics

1989 ◽  
Vol 44 (6) ◽  
pp. 383-387 ◽  
Author(s):  
K.von Kemp ◽  
P. Herregodts ◽  
L. Duynslaegcr ◽  
D. Deleu ◽  
M. Bruyland ◽  
...  
Keyword(s):  
Intramuscular Administration ◽  
Narcotic Analgesics

Placental Transfer of Narcotic Analgesics in Man

1981 ◽  
Vol 18 (8) ◽  
pp. 911-914 ◽  
Author(s):  
Robert H. Cravey ◽  
Dwight Reed
Keyword(s):  
Placental Transfer ◽  
Narcotic Analgesics
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