ISSN : 1300-0012   E-ISSN 2458-9446 Home      |      Contact      |      TR
 
 
Volume: 34  Issue: 4   Year: 2022
  Comparison of bupivacaine-fentanyl versus bupivacaine-morphine for patient controlled epidural analgesia [Ağrı]
Ağrı. 2005; 17(2): 40-43

Comparison of bupivacaine-fentanyl versus bupivacaine-morphine for patient controlled epidural analgesia

Yavuz Gürkan1, Hakan Canatay1, Nur Baykara1, Mine Solak1, Kamil Toker1
Kocaeli University Faculty Medicine, Department of Anesthesiology, İstanbul, Turkey

Analgesic efficacy and possible side effects of bupivacaine-fentanyl (BF) and bupivacaine-morphine (BM) combinations for patient controlled epidural analgesia (PCEA) have been compared. Sixty ASA I-II patients who had PCEA following lower abdominal surgery were admitted to the study. Epidural catheter was inserted at the level of L3-4 or L4-5 following induction of general anesthesia. In Group BF epidural drug solution was prepared as bupivacaine 0.1 % and fentanyl 2 µg/ml. In Group BM, solution was prepared as bupivacaine 0.1 % and morphine 0.2 µg/ml. In both groups PCEA was set as; bolus dose: 4 ml, lock - out period: 20 minutes, 4 hour limit: 30 ml. VAS was measured at postoperative 1, 2, 3, 6, 9, 12 and 24th hours. In both groups adequate postoperative analgesia was provided. VAS score was higher in Group BF than Group BM at postoperative 12th hour (p<0.05). One patient in Group BF had unilateral motor block, one patient in Group BM had respiratory depression responding to i.v. naloxan administration. The incidence of pruritis was higher in Group BM than Group BF (p<0.05). Both treatment modalities provided adequate postoperative analgesia, but the risk of respiratory depression with opioid use should be considered.



Hasta kontrollü epidural analjezide bupivakin-fentanil ile bupivakain-morfinin karşılaştırılması

Yavuz Gürkan1, Hakan Canatay1, Nur Baykara1, Mine Solak1, Kamil Toker1
Kocaeli University Faculty Medicine, Department of Anesthesiology, İstanbul, Turkey



Yavuz Gürkan, Hakan Canatay, Nur Baykara, Mine Solak, Kamil Toker. Comparison of bupivacaine-fentanyl versus bupivacaine-morphine for patient controlled epidural analgesia. Ağrı. 2005; 17(2): 40-43


TOOLS
Full Text PDF
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share


Similar articles
PubMed
Google Scholar




   
Copyright © 2022 The Journal of The Turkish Society of Algology, All Rights Reserved.