PAIN FOLLOWING THORACOTOMY - A RANDOMIZED, DOUBLE-BLIND COMPARISON OF LUMBAR VERSUS THORACIC EPIDURAL FENTANYL

被引：26

作者：

COE, A ^{[1
]}

SARGINSON, R ^{[1
]}

SMITH, MW ^{[1
]}

DONNELLY, RJ ^{[1
]}

RUSSELL, GN ^{[1
]}

机构：

[1] CARDIOTHORAC CTR LIVERPOOL,DEPT ANAESTHESIA,THOMAS DR,LIVERPOOL L14 3LB,ENGLAND

来源：

ANAESTHESIA | 1991年 / 46卷 / 11期

关键词：

ANESTHETIC TECHNIQUES; REGIONAL; EPIDURAL; PAIN; POSTOPERATIVE;

D O I：

10.1111/j.1365-2044.1991.tb09846.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Fifty‐eight patients scheduled for elective thoracotomy were randomly allocated to receive fentanyl by either the thoracic or the lumbar epidural route for postoperative analgesia. The infusion rate was adjusted to optimise analgesia. Dose adjustment, pain assessment and the incidence of side effects were monitored by a blinded observer at set times over the 24 hour study period. Similar pain scores were obtained in both groups at all assessment times. In addition, there was no significant difference in dose requirements or incidence of side effects between the two groups. There appears little justification for the use of the generally less familiar, and potentially more dangerous, thoracic approach when fentanyl alone is infused into the epidural space following thoracotomy. Copyright © 1991, Wiley Blackwell. All rights reserved

引用

页码：918 / 921

页数：4

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