Your browser doesn't support javascript.
loading
Security evaluation of bupivacaine, ropivacaine combined with fentanyl in postoperative continuous epidural analgesia / 中华外科杂志
Chinese Journal of Surgery ; (12): 1200-1202, 2006.
Article in Chinese | WPRIM | ID: wpr-288622
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the effects, side-effects and security of bupivacaine, ropivacaine combined with fentanyl in postoperative continuous epidural analgesia.</p><p><b>METHODS</b>A total of 1 600 postoperative continuous epidural analgesia patients receiving different agents in SICU were divided into two groups 0.1% bupivacaine +5 microg/ml fentanyl group (group B, n = 920) and 0.2% ropivacaine +2 microg/ml fentanyl group (group R, n = 680). The effects (visual analog-scale score and content to analgesia), side effects were analyzed retrospectively in the two groups.</p><p><b>RESULTS</b>Compared with group B, patients in group R had higher analgesia contentment (P < 0.05), but no difference in visual analog-scale score was found in the two groups. The incidences of urinary retention, nausea and vomiting, skin itching in group B were significantly higher than those in group R (P < 0.05). In each group, patients over sixty had higher ratio of hypotension than those under sixty (P < 0.05); The female patients had a higher incidence of nausea and vomiting than male patients (P < 0.05); The incidence of debility and numbness of lower limbs in patients with lumbar segments epidural analgesia was higher than those with thoracic analgesia (P < 0.05).</p><p><b>CONCLUSIONS</b>0.1% bupivacaine +5 microg/ml fentanyl and 0.2% ropivacaine +2 microg/ml fentanyl can provide adequate pain relief in postoperative continuous epidural analgesia, and 0.2% ropivacaine +2 microg/ml fentanyl comes with less side effects. The incidence of complication is related with analgesics, age, gender and the position of epidural puncture.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pain, Postoperative / Bupivacaine / Analgesia, Epidural / Fentanyl / Retrospective Studies / Analgesia, Obstetrical / Amides / Analgesics, Opioid / Anesthetics, Local / Methods Type of study: Observational study Limits: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Surgery Year: 2006 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pain, Postoperative / Bupivacaine / Analgesia, Epidural / Fentanyl / Retrospective Studies / Analgesia, Obstetrical / Amides / Analgesics, Opioid / Anesthetics, Local / Methods Type of study: Observational study Limits: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Surgery Year: 2006 Type: Article