Epidural sufentanil provides better analgesia from 24 h after surgery compared with epidural fentanyl in children

作者: J. E. CHO , J. Y. KIM , J. E. KIM , D. H. CHUN , N. H. JUN

DOI: 10.1111/J.1399-6576.2008.01796.X

关键词:

摘要: Background: Studies comparing epidural fentanyl and sufentanil in adults reported a similar analgesic effect with variable side effects. We hypothesized that will have children undergoing urological surgery. Methods: Sixty-four surgery were randomized into two groups: ropivacaine (fentanyl group, n=32) (sufentanil n=32). After anaesthesia, an catheter was inserted at the L2–3, L3–4 or L4–5 interspace. For post-operative pain relief, solution consisting of 0.1 mcg/kg/ml 0.015 mcg/kg/ml 1.5 mg/ml infused rate 2 ml/h. To assess pain, faces scale face, legs, activity, cry, consolability score recorded 1, 6, 24, 48 72 h after surgery. The incidence adverse effects such as hypoxia, sedation, pruritus, nausea and/or vomiting also evaluated. Results: Pain scores demonstrated no significant difference between groups. need for rescue analgesia during 24–72 h higher group than (6/32 vs. 0/32, P=0.012). pruritus compared (5/32 0/32). Conclusions: Epidural provides better from 24 h infants group.

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