Articles: analgesia.
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Epidural sufentanil was administered to 57 women after Caesarean section, under epidural anaesthesia, to provide postoperative analgesia. Each patient received a 30 micrograms dose at the first complaint of pain and this dose was repeated when pain recurred. Epinephrine (1:200,000) was added to the local anaesthetic, sufentanil, both, or neither. ⋯ Respiratory depression, as defined by a respiratory rate less than 10 bpm, was not observed. A number of patients noted a transient period of euphoria 5-8 min after administration of the epidural sufentanil. The authors feel that epidural sufentanil provides satisfactory analgesia after Caesarean section, but the brief duration of action and the high incidence of drowsiness limit its acceptability for routine use in obstetric patients.
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Regional-Anaesthesie · May 1990
Randomized Controlled Trial Comparative Study Clinical Trial[Postoperative peridural analgesia via catheter following abdominal surgery. Peridural bupivacaine versus buprenorphine].
Seventy-five patients scheduled for major abdominal operations were randomly divided into four groups, each with a different postoperative analgesic regime. Group I: buprenorphine 4 micrograms/kg was injected i.v. every 4 h. Groups II-IV: all patients were preoperatively supplied with a thoracic epidural catheter that, however, was not used during the operation. ⋯ No patient in any of the other groups, however, was dropped (P less than 0.01). Later in the 1st postoperative day analgesia in groups II and IV lost its superiority at rest, but coughing continued to be less painful in comparison to groups I and III. We noticed that the duration of action of 0.25% bupivacaine, injected as a bolus, was considerably shorter than expected (less than 2 h) and that several patients experienced pain before the next top-up was given...
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Randomized Controlled Trial Comparative Study Clinical Trial
Bupivacaine added to epidural fentanyl does not improve postoperative analgesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Patient controlled lumbar epidural fentanyl for post thoracotomy pain.
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Regional anesthesia · May 1990
Comparative StudyDistance from skin to the lumbar epidural space in an obstetric population.
The distance from skin to the epidural space was measured in 163 patients receiving epidural analgesia. The mean distance was found to be 4.78 cm, which correlated with other anatomic measurements. The presence of edema and the ethnic origin of the patients had significant effects on this distance.