Bupivacaine 0.125% improves continuous postoperative epidural fentanyl analgesia after abdominal or thoracic surgery

Badner, Neal H.; Bhandari, Rakesh; Komar, Wendy E.

doi:10.1007/bf03009860

Cited by 47 publications

(20 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Copper D et al 6 in 1993 studied that in patient controlled extradural analgesia, bupivacaine and fentanyl combination provide better postoperative analgesia than either drug alone. Bander et al 7 in their study in 1994 concluded that bupivacaine improves continuous postoperative fentanyl analgesia after abdominal and thoracic surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Epidural Bupivacaine; Fentanyl and Their Combination for Postoperative Analgesia in Lower Abdominal and Lower Extremity Surgery: A Prospective, Randomized, Double Blind Controlled Trial

Haldar¹,

Nayak²,

Ray³

et al. 2016

jemds

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Epidural Bupivacaine; Fentanyl and Their Combination for Postoperative Analgesia in Lower Abdominal and Lower Extremity Surgery: A Prospective, Randomized, Double Blind Controlled Trial

Haldar¹,

Nayak²,

Ray³

et al. 2016

jemds

View full text Add to dashboard Cite

show abstract

“…Epidural anesthesia may be the most popular and well-known option, but several associated complications have been reported in the literature, including nausea, vomiting, hypotension, pruritus, constipation, and technical complications [8]. Thoracic epidural analgesia was not used in any of the 26 patients, avoiding its potential risk.…”

Section: Discussionmentioning

confidence: 99%

Experiences with a simple laparoscopic gastric tube construction

Wang

Tsao

Cheng

et al. 2013

J Cardiothorac Surg

View full text Add to dashboard Cite

BackgroundMinimally invasive esophagectomy (MIE) is a complex operation, and the detailed optimal surgical procedure has not been well described. Our aim was to evaluate use of a simple method of laparoscopic gastric tube construction as minimally invasive surgery for patients with esophageal cancer.MethodsWe performed a retrospective review of 26 consecutive patients who underwent MIE for esophageal cancer in the Koo Foundation Sun Yat-Sen Cancer Center between September 2009 and August 2011. Perioperative data and postoperative complications were statistically analyzed.ResultsThe patient group consisted of 22 men and 4 women. MIE was performed successfully in all patients. The mean operative time was 430.4 ± 60.6 minutes, and the mean estimated operative blood loss was 135.0 ± 97.8 mL. There were no cases of conversion to open surgery during the procedure. The postoperative complication rate was 53.8%, and there was no surgical mortality.ConclusionsWe recommend this novel method of total laparoscopic staplized formation of gastric tube to facilitate gastric pull-up.

show abstract

“…Thus, in addition to our larger study groups, we have also attempted to improve the sensitivity of the study by the use of more discriminating pain scoring methods. Studies have also incorporated a wide variety of types of operation within the same treatment group [14,17,20]. It is likely that the intensity and duration of pain after thoracotomy differs from that experienced after major abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Thoracic epidural infusions for post‐thoracotomy pain: a comparison of fentanyl–bupivacaine mixtures vs. fentanyl alone

Mahon¹,

Berry²,

Jackson

et al. 1999

Anaesthesia

View full text Add to dashboard Cite

SummaryA randomised double-blind clinical trial was conducted on 106 patients scheduled for pulmonary resection. Patients received an epidural infusion containing 0.1%, 0.2% bupivacaine or saline in combination with fentanyl 10 mg.ml ¹1 . Adequacy of analgesia was assessed at rest and during movement over 24 h. Analgesic efficacy was assessed using visual analogue scores and an observer/ verbal ranking scale. Pain scores were higher in the fentanyl-only group at the 2 h assessment (p < 0.05). Otherwise, there were no between-group differences in pain scores or in the total amounts of epidural solution used. All patients received continuous haemodynamic monitoring. There were no between-group differences in the number of episodes of hypotension or in the number of interventions for hypotension. However, the use of intra-operative vasopressor and the incidence of temporary neurological complications was higher in the 0.2% bupivacaine group (p < 0.05). We conclude that, in the early postoperative period, the addition of bupivacaine 0.1% improves fentanyl epidural analgesia in patients undergoing lung resection and is not associated with the disadvantages seen with the addition of bupivacaine 0.2%.

show abstract

Bupivacaine 0.125% improves continuous postoperative epidural fentanyl analgesia after abdominal or thoracic surgery

Cited by 47 publications

References 24 publications

Comparison of Epidural Bupivacaine; Fentanyl and Their Combination for Postoperative Analgesia in Lower Abdominal and Lower Extremity Surgery: A Prospective, Randomized, Double Blind Controlled Trial

Comparison of Epidural Bupivacaine; Fentanyl and Their Combination for Postoperative Analgesia in Lower Abdominal and Lower Extremity Surgery: A Prospective, Randomized, Double Blind Controlled Trial

Experiences with a simple laparoscopic gastric tube construction

Thoracic epidural infusions for post‐thoracotomy pain: a comparison of fentanyl–bupivacaine mixtures vs. fentanyl alone

Contact Info

Product

Resources

About