The Effect of Epidural Butorphanol for Analgesia after Cesarean Section / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 205-209, 2003.
Article
in Korean
| WPRIM
| ID: wpr-226266
ABSTRACT
BACKGROUND:
This study aimed to compare analgesic efficacy and the side effects of postoperative continuous epidural infusion (2 ml/hr) of morphine (40 microgram/ml) or butorphanol (50 microgram/ml) administered with 0.15% ropivacaine 100 ml.METHODS:
Forty consenting, healthy, term parturients who had undergone Ceasarean section under epidural lidocaine and ropivacaine anesthesia received a morphine 1 mg bolus and 0.15% ropivacaine 100 ml/morphine 4 mg (Group M, n = 20) or a butorphanol 2 mg bolus and 0.15% ropivacaine 100 ml/butorphanol 5 mg (Group B, n = 20) using an epidural 2 day infuser (2 ml/hr) 30 minutes after surgical incision.RESULTS:
No significant difference were observed by the visual analog scale (VAS) for pain during rest, but Group B requested significantly greater amounts of supplementary diclofenac sodium during the first 24 hours. Side effects were higher in pruritus in Group M and in somnolence in Group B, but no significant differences in severe side effects were evident between the two groups.CONCLUSIONS:
Using 0.15% ropivacaine 100 ml with morphine (40 microgram/ml) via an epidural 2 day infuser (2 ml/hr) provided better pain relief than butorphanol (50 microgram/ml) group, but significant side effects, such as pruritus, were observed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Pruritus
/
Butorphanol
/
Cesarean Section
/
Diclofenac
/
Visual Analog Scale
/
Analgesia
/
Anesthesia
/
Lidocaine
/
Morphine
Limits:
Pregnancy
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2003
Type:
Article
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