Epidural Analgesia for Perioperative Upper Abdominal Surgery

Siriussawakul, Arunotai; Suwanpratheep, Aticha

doi:10.5772/34039

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…TEA decrease both HR and MAP due to sympathetic block as we noticed in our study and agree with us Loick et al [25], who evaluated the effect of TEA on haemodynamic parameters and reported that the heart rate in patients decreased significantly during the intra and postoperative period following administration of TEA, as compared to preoperative values, but there was not a difference between the patients of control groups [26].…”

Section: Discussionsupporting

confidence: 92%

Continuous Perioperative Thoracic Epidural Fentanyl-Bupivacaine Infusion vs. Continuous Perioperative Fentanyl Intravenous Infusion in Patients Undergoing Major Upper Abdominal Cancer Surgeries

Aam¹,

M²,

Gm³

et al. 2018

Pain Manage Med

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Section: Discussionsupporting

confidence: 92%

Continuous Perioperative Thoracic Epidural Fentanyl-Bupivacaine Infusion vs. Continuous Perioperative Fentanyl Intravenous Infusion in Patients Undergoing Major Upper Abdominal Cancer Surgeries

Aam¹,

M²,

Gm³

et al. 2018

Pain Manage Med

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“…Although these side effects occurred more likely with morphine, they might be due to fentanyl or tramadol. [21] Intraoperative fluid shift as (blood loss, fluid and red blood cell transfusion) were increased in control group compared to TEA group, but the difference was not statistically significant as a recent study by Skinner et al that concluded that TEA decrease intraoperative blood loss and transfusion demand, although these data are insufficient for meta-analysis. [22] The total dose of intraoperative fentanyl was significantly lower in the (TEA group) than in the (control group).…”

Section: Discussionmentioning

confidence: 91%

Impact of Continuous Intra and Post operative Thoracic Epidural Fentanyl–Bupivacaine Infusion on Patients Undergoing Major Upper Gastrointestinal Cancer Surgery

2016

SECI Oncology Journal

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Recent estimates indicate that millions of major surgical procedures are performed worldwide each year and Patients undergoing gastrointestinal surgery for malignancy are typical representatives of such high-risk patients. [1] Major abdominal surgeries induce neurohumoral changes responsible for postoperative pain, various organ dysfunctions and prolonged hospitalization. Inadequate pain control is harmful and costly thus an appropriate pain therapy must be used to those patients.[2]

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“…Respiratory depression is therefore, unlikely when fentanyl is given epidurally. However, much of fentanyl analgesic effect is mediated by systemic rather than spinal receptor binding [3].…”

Section: Introductionmentioning

confidence: 99%

Postoperative analgesia after major abdominal surgery: Fentanyl–bupivacaine patient controlled epidural analgesia versus fentanyl patient controlled intravenous analgesia

Moawad

Mokbel

2014

Egyptian Journal of Anaesthesia

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Background: Major abdominal surgeries induce neurohumoral changes responsible for postoperative pain, various organ dysfunctions and prolonged hospitalization. Inadequate pain control is harmful and costly to patients thus an appropriate pain therapy to those patients must be applicated. Methods: One hundred patients (ASA I or II) of either sex aged from 20 to 60 years were scheduled for elective major abdominal surgery. Patients were allocated randomly into two groups (fifty patients each) to receive: patient-controlled epidural analgesia with bupivacaine 0.125% and fentanyl (PCEA group), or patient controlled intravenous analgesia with fentanyl (PCIA group). Postoperative pain was assessed over 24 h using Numerical Pain Rating scale (NPRS). The frequency of rescue analgesia, sedation score and overall patient satisfaction were recorded. Any concomitant events like nausea; vomiting, shivering, pruritus or respiratory complications were recorded postoperatively. Results: There was a significant less pain in PCEA group at 2, 8 and 12 h. postoperative but PCIA group had less pain at immediate postoperative time. As regard sedation scale, patients of the PCEA group were significantly less sedated than PCIA group at immediate postoperative only. Overall patient satisfaction was significantly more in PCEA group.Conclusion: This study concluded that both PCEA and PCIA were effective in pain relief after major abdominal surgery but PCEA was much better in pain relief, less sedating effect and overall patient satisfaction.

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Epidural Analgesia for Perioperative Upper Abdominal Surgery

Cited by 4 publications

References 17 publications

Continuous Perioperative Thoracic Epidural Fentanyl-Bupivacaine Infusion vs. Continuous Perioperative Fentanyl Intravenous Infusion in Patients Undergoing Major Upper Abdominal Cancer Surgeries

Continuous Perioperative Thoracic Epidural Fentanyl-Bupivacaine Infusion vs. Continuous Perioperative Fentanyl Intravenous Infusion in Patients Undergoing Major Upper Abdominal Cancer Surgeries

Impact of Continuous Intra and Post operative Thoracic Epidural Fentanyl–Bupivacaine Infusion on Patients Undergoing Major Upper Gastrointestinal Cancer Surgery

Postoperative analgesia after major abdominal surgery: Fentanyl–bupivacaine patient controlled epidural analgesia versus fentanyl patient controlled intravenous analgesia

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