The Comparison of Epidural Analgesia with Fentanyl by the Lumbar Versus Thoracic Route after Thoracotomy

Background:The lower levels of cardiotoxicity and motor block make ropivacaine well suited as an epidural infusion for postoperative analgesia. This study examined the analgesic efficacy of an epidural infusion of ropivacaine alone and in combination with alfentanil after major abdominal surgery.Methods: Thirty patients undergoing major abdominal surgery under general anesthesia were divided into two groups receiving patient-controlled thoracic epidural analgesia with 0.2% ropivacaine (Group I) and 0.15% ropivacaine +150μg/ml alfentanil (Group II). The motor block, side effects, VAS (visual analog pain scale) score on coughing and resting, additional analgesics use, and patient's satisfaction were checked for 24 hours after a loading dose injection.Results: The VAS score in group II was significantly lower than in group I, and the patients in group II were more satisfied than those in group I (P ＜ 0.05). However, there were more side effects in group II.Conclusions: Postoperative epidural infusion of 0.15% ropivacaine with 150μg/ml alfentanil is more effective than 0.2% ropivacaine only.

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The Optimal Concentration of Alfentanil in Combination with 0.15% Ropivacaine for Postoperative Patient-Controlled Epidural Analgesia

Hwang

Lee

et al. 2006

Korean J Anesthesiol

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The Comparison of Epidural Analgesia with Fentanyl by the Lumbar Versus Thoracic Route after Thoracotomy

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Postoperative Pain Control with Epidural Meperidine Infusion

Postoperative Pain Control with Epidural Meperidine Infusion

A Comparison of Epidural 0.2% Ropivacaine Alone and 0.15% Ropivacaine with 150 µg/ml Alfentanil for Postoperative Patient-Controlled Epidual Analgesia after Major Abdominal Surgery

The Optimal Concentration of Alfentanil in Combination with 0.15% Ropivacaine for Postoperative Patient-Controlled Epidural Analgesia

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