Wednesday, May 1, 2019
Literature review and evaluation of the evidence Essay
Literature review and military rating of the evidence - Essay ExampleWith the patient as the unit of analysis, comparing the feedback-2 period with baseline, the proportion of patients who trus dickensrthy any promoted scheme increased from 0.7% to 45.6% (P Pouzeratte et al (2001) reported that thoracic extradural analgesia was more effective with bupivacaine than with ropivacaine when these two local anesthetics are used in a mixture with sufentanil after major abdominal operating theater and ropivacaine alone was less effective than ropivacaine in combination with sufentanil. Intensity of post-operative bother was assessed with a reliable and sensible Visual Analogue Scale. The study was planned well with a prospective forficate blind design. In order to assess the tolerability and efficacy of a wholeness pane of paracetamol solution infused intravenously (1g) compared with those of a single dit of Propacetamol (2g) in patients with moderate to severe pain after minor gyn ecologic surgery, a randomized, double blind, active controlled, 2-parallel group study was performed by Marty et al (2005). The study concluded that a single dose of IV-Paracetamol infusion was associated with better local tolerability, simlar analgesic efficacy, and greater patient satisfaction compared with a single bioequivalent dose of Propacetamol in patients with moderate to severe pain after minor gynecologic surgery. Charghi et al (2003) examined the hypothesis that pain treatment with patient controlled analgesia (PCA) using iv morphine is a suitable and safe alternative to epidural analgesia in morbidly obese patients undergoing gastric bypass surgery. They concluded that PCA with iv morphine is an acceptable strategy for pain management in obese patients undergoing gastric bypass surgery.Mujadi (2006) in a prospective, randomized, double-blind clinical running play reported that preoperative gabapentin decreased pain scores and postoperative morphine consumption in pati ents pastime thyroid surgery.Reuben (2000) evaluated the analgesic efficacy of administering a single preoperative dose of celecoxib or rofecoxib for spinal fusion surgery. The study found that rofecoxib demonstrated an extended analgesic effect that lasted throughout the 24-h study. The morphine dose required was significantly less in five of the six time intervals in the rofecoxib group compared with the celecoxib group.Rockeymann (1997)compared the costs, quality of analgesia, and side effects of postoperative patient-controlled epidural analgesia (PCEA) with bupivacaine/ sufentanil versus an epidural bolus (BOLUS) of clonidine/morphine in 68 patients with pancreatic surgery. An epidural clonidine/ morphine bolus technique resulted in insufficient analgesia, more side effects, and comparable costs compared with a bupivacaine / sufentanil patient controlled
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