L'anesthésie sous-arachnoïdienne par la péthidine

Epidural sufentanil for intra– and postoperative analgesia in thoracic surgery: a comparative study with intravenous sufentanil

“…Values are given as m e a n t s.d. See also, legend In contrast to the many reports on the excellence of postoperative analgesia provided by epidural opiates (8-13), its intraoperative use has never been extensively studied (14)(15)(16). The major site of action of epidural opiates is probably presynaptic modulation of the nociceptive signal in the lamina of Rexed in the spinal cord (1 7, 18).…”

Spinal anaesthesia with meperidine as the sole agent

“…Mircea et al have also reported successful spinal anaesthesia with intrathecal meperidine, 1 mg.kg-~ body weight. 13 The prolonged postoperative analgesia observed is remarkable, and some of these patients did not require any additional analgesic during postoperative periods lasting up to seven days. No neurological complications were observed.…”

Continuous Microcatheter Spinal Anesthesia With Subarachnoid Meperidine for Labor and Delivery

“…On the other hand, meperidine, in addition to its mu-receptor agonist property, has direct nerve blocking effects at high concentrations (1,2). General endotracheal anesthesia was discussed for forceps delivery, cesarean delivery, or episiotomy repair.…”

“…Intrathecal morphine is also associated with a significant incidence of side effects, including somnolence, severe pruritus, nausea, and vomiting. However, we were intrigued with the reports of the efficacy of high-dose meperidine in the subarachnoid space (1,2,9). However, we were intrigued with the reports of the efficacy of high-dose meperidine in the subarachnoid space (1,2,9).…”

“…Meperidine has been reported to have local anesthetic activity separate from its narcotic receptor agonist effect (1,2). We describe the use of high-dose subarachnoid meperidine as the sole agent for continuous spinal anesthesia for labor and delivery in a patient presumed allergic to local anesthetics.…”