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Continuous epidural analgesia for pain relief in patients with peripheral arterial ischemia
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Abstract
Material and methods: Patients were ramdomly allocated to two group, 30 patients each, according to drugs received: group I - bupivacaine plus morphine; group II - bupivacaine plus fentanyl. The incidence of adverce reactions after administration of both analgesics was compared. Pain was assessed using the visual analogue scale. Other variables measured included: block onset time, duration of analgesia, 24-hours uptake of bupivacaine, basic hemodynamic parameters and blood-gas analysis. Data were collected before and after surgery.
Results: We found bupivacaine-morphine analgesia the most effective, providing the longest duration of analgesia and the lowest 24-hour uptake of bupivacaine. Fentanyl was less effective, although significantly increased analgesia. There were no marked side-effects in all groups.
Abstract
Material and methods: Patients were ramdomly allocated to two group, 30 patients each, according to drugs received: group I - bupivacaine plus morphine; group II - bupivacaine plus fentanyl. The incidence of adverce reactions after administration of both analgesics was compared. Pain was assessed using the visual analogue scale. Other variables measured included: block onset time, duration of analgesia, 24-hours uptake of bupivacaine, basic hemodynamic parameters and blood-gas analysis. Data were collected before and after surgery.
Results: We found bupivacaine-morphine analgesia the most effective, providing the longest duration of analgesia and the lowest 24-hour uptake of bupivacaine. Fentanyl was less effective, although significantly increased analgesia. There were no marked side-effects in all groups.
Keywords
epidural analgesia; bupivacaine; morphine; fentanyl; ischemic pain


Title
Continuous epidural analgesia for pain relief in patients with peripheral arterial ischemia
Journal
Chirurgia Polska (Polish Surgery)
Issue
Pages
45-50
Published online
2004-03-16
Page views
484
Article views/downloads
952
Bibliographic record
Chirurgia Polska 2004;6(1):45-50.
Keywords
epidural analgesia
bupivacaine
morphine
fentanyl
ischemic pain
Authors
Anna Grabowska-Gaweł
Katarzyna Porzych
Jacek Wiśniewski