RESUMO
A randomised double-blind study was carried out on 60 patients undergoing elective lumbar discectomy. Patients in the study group (n = 30) received an injection of 10 ml of 0.5% bupivacaine into the wound; the control group (n = 30) received none. Postoperative pain was measured by a visual analogue pain scale and by the amount of morphine administered by a patient-controlled analgesia system. Patients in the study group had lower pain scores, used less morphine, waited longer until their first demand for analgesia and reported their postoperative pain to be less severe.
Assuntos
Bupivacaína/administração & dosagem , Disco Intervertebral/cirurgia , Vértebras Lombares/cirurgia , Dor Pós-Operatória/prevenção & controle , Adulto , Método Duplo-Cego , Feminino , Humanos , Período Intraoperatório , Masculino , Pessoa de Meia-Idade , Medição da Dor , Dor Pós-Operatória/fisiopatologiaRESUMO
Serious neck injury in rugby football is becoming more common, especially in schoolboys. We report five who presented with spinal cord damage between 1977 and 1983, two in the 1982-83 season. The mechanisms of injury, the treatment, and the outcome are discussed. We suggest measures to reduce the incidence of this most serious injury and draw attention to the appropriate management in the critical phase directly after injury.
Assuntos
Traumatismos em Atletas/terapia , Vértebras Cervicais/lesões , Traumatismos da Medula Espinal/etiologia , Esportes , Adolescente , Dispneia/terapia , Fraturas Ósseas/terapia , Humanos , Luxações Articulares/terapia , Masculino , Risco , Traumatismos da Medula Espinal/terapia , Fusão Vertebral , TraçãoRESUMO
A case following a road traffic accident involving fracture of the shafts of both clavicles complicated by non-union is described.
