Anesthesiology
- Nociception index may provide objective measure of subjective pain experience.
- In testing, the index mirrored physiologic responses normally observed by anesthesiologists during surgery.
- If effective device may improve titration of analgesic and anesthetic drugs during surgery.
- Device would be first method to objectively measure subjective pain experience.
- Both intravenous and intraperitoneal lidocaine provide effective analgesia for elective hysterectomy.
- Intravenous and intraperitoneal lidocaine significantly reduce postop opioid requirements.
- Double-blind placebo controlled study included 109 patients.
- Study compared I.V and intraperitoneal lidocaine versus saline placebo.
- Patients in the lidocaine group experienced less vomiting.
- Trial tracked postoperative opioid analgesic requirement.
- Is general anesthesia to be avoided in children?
- Regional anesthesia offers a viable alternative in most surgical cases.
- It is appropriate to examine the clinical wisdom of administering central anesthesia in a child when regional is equally or more effective.
- Regional anesthesia offers profound analgesia in addition to anesthesia, reducing the need for strong oral analgesics.
