A Comparison of the Effect between Intravenous Fentanyl and Interpleural Bupivacaine Following Thoracoscopic Surgery / 대한마취과학회지
Korean Journal of Anesthesiology
; : 620-626, 2002.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-88689
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Epidural and intravenous administration of opioids had been commonly used for postoperative pain management in thoracoscopic surgery. Recently, interpleural analgesia was frequently used. The aim of this study was to compare the effect of an intravenous continuous infusion of fentanyl (F-IV) with interpleural bupivacaine (B-IP) using a continuous infusion system in the management of post-thoracoscopic pain.METHODS:
An interpleural continuous infusion of bupivacaine (B-IP group basal infusion 7(ng/kg/min) was compared with an intravenous continuous infusion of fentanyl (F-IV group basal infusion 0.33ng/ kg/hr) in forty patients who had undergone elective thoracoscopic surgery. During the postoperative 48 hours, the visual analogue scale (VAS), Prince-Henry score (PHS), heart rate, respiratory rate and peripheral oxygen saturation were measured.RESULTS:
The postoperative heart rate in both groups was significantly higher than the preoperative value (P < 0.05 1 h and 4 h after operation), but there were no differences in the respiratory rate and peripheral oxygen saturation between the two groups. There were significant improvement of the degree of pain in VAS and PHS after administration of the analgesic, but there was no significant differences in the two groups during 48 hours. The incidence of adverse effects such as nausea, vomiting, dizziness, urinary difficulty and respiratory depression was higher in the F-IV than the B-IP group.CONCLUSIONS:
The interpleural continuous infusion of local anesthetics and intravenous continuous infusion of fentanyl provided effective analgesia in this study. The side effects were significantly lower in the interpleural continuous infusion of local anesthetics than intravenous continuous infusion of fentanyl. Therefore, interpleural continuous infusion of local anesthetics could be a useful alternative for postoperative analgesia after thoracoscopic surgery.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Oxigênio
/
Dor Pós-Operatória
/
Insuficiência Respiratória
/
Toracoscopia
/
Vômito
/
Bupivacaína
/
Fentanila
/
Incidência
/
Tontura
/
Analgesia Interpleural
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2002
Tipo de documento:
Artigo