Epidural infusion of bupivacaine and diamorphine for postoperative analgesia. Use on general surgical wards.
作者： G. J. Hobbs , F. L. Roberts
DOI: 10.1111/J.1365-2044.1992.TB01958.X
关键词:
摘要: Summary An audit of postoperative epidural analgesia in a District General Hospital is presented. Three hundred and forty-eight patients received infusions bupivacaine diamorphine mixture, were managed on general surgical wards using standard protocol observations instructions. Good was achieved 339 (97%) patients. Respiratory depression, defined as respiratory rate eight breaths.min−1 or less, occurred 22 (6%) patients, gradual onset, simply successfully without morbidity. There no arrests. Other complications, the significance catheter insertion level are discussed.
sci-hub.se 参考文章(29)
M. Morgan, Epidural and intrathecal opioids. Anaesthesia and Intensive Care. ,vol. 15, pp. 60- 67 ,(1987) , 10.1177/0310057X8701500108
J. A. PATRICK, M. MEYER-WITTING, F. REYNOLDS, Lumbar epidural diamorphine following thoracic surgery. A comparison of infusion and bolus administration. Anaesthesia. ,vol. 46, pp. 85- 89 ,(1991) , 10.1111/J.1365-2044.1991.TB09344.X
C. F. CORKE, R. G. WHEATLEY, Respiratory depression complicating epidural diamorphine. Two case reports of administration after dural puncture. Anaesthesia. ,vol. 40, pp. 1203- 1205 ,(1985) , 10.1111/J.1365-2044.1985.TB10660.X
Lawrence J. Saldman, Michael J. Cousins, Laurence E. Mather, Intrathecal and epidural administration of opioids Anesthesiology. ,vol. 61, pp. 276- 310 ,(1984) , 10.1097/00000542-198409000-00008
C. JORDAN, ASSESSMENT OF THE EFFECTS OF DRUGS ON RESPIRATION BJA: British Journal of Anaesthesia. ,vol. 54, pp. 763- 782 ,(1982) , 10.1093/BJA/54.7.763
Philip R. Bromage, The price of intraspinal narcotic analgesia: basic constraints. Anesthesia & Analgesia. ,vol. 60, pp. 461- 463 ,(1981) , 10.1213/00000539-198107000-00001
Ronald L. Fischer, Timothy R. Lubenow, Alvero Liceaga, Robert J. McCarthy, Anthony D. Ivankovich, Comparison of continuous epidural infusion of fentanyl-bupivacaine and morphine-bupivacaine in management of postoperative pain. Anesthesia & Analgesia. ,vol. 67, pp. 559- 563 ,(1988) , 10.1213/00000539-198806000-00011
NARINDER RAWAL, ULF H. SJÖSTRAND, Clinical application of epidural and intrathecal opioids for pain management. International Anesthesiology Clinics. ,vol. 24, pp. 43- 57 ,(1986) , 10.1097/00004311-198602420-00006
K. Gil, J. Askonazi, D. H. Elwyn, F. E. Gump, J. M. Kinney, SPLANCHNIC OXYGEN CONSUMPTION AND SUBSTRATE RALANCE FOLLOWING ACCIDENTAL INJURY Anesthesiology. ,vol. 61, ,(1984) , 10.1097/00000542-198409001-00276
G. Nordberg, T. Hedner, T. Mellstrand, B. Dahlstrdm, Pharmacokinetic aspects of epidural morphine analgesia. Anesthesiology. ,vol. 58, pp. 545- 551 ,(1983) , 10.1097/00000542-198306000-00012