Clinical efficiency of postoperative analgesia with i.v.PCA or continuous epidural analgesia;Untersuchungen zum Ergebnis der postoperativen Schmerztherapie mit einer i.v.PCA oder einer kontinuierlichen epiduralen Analgesie

Anasthesiologie und Intensivmedizin

Volumn 37, Issue 9, 1996, Pages 459-475

  Jage, J ^a,b   Faust, R ^a   Strecker, U ^a   Hartje, H ^a   Jage, B ^a   Heinrichs, W ^a   Baldering, H J ^a  

^a JOHANNES GUTENBERG UNIVERSITY   (Germany)

^b Klinik fur Anasthesiologie   (Germany)

Author keywords

analgesia, epidural; analgesia, patient controlled; analgetics, addictive; anesthetics, local; pain, postoperative

Indexed keywords

BUPIVACAINE; FENTANYL; NALOXONE; PIRITRAMIDE;

ADOLESCENT; ADULT; AGED; ANALGESIA; ARTICLE; CHILD; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG EFFICACY; EPIDURAL ANESTHESIA; FEMALE; HIGH RISK POPULATION; HUMAN; HYPERTENSION; INTRATHECAL DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; MAJOR CLINICAL STUDY; MALE; NAUSEA; PATIENT CONTROLLED ANALGESIA; PATIENT MONITORING; POSTOPERATIVE PAIN; TACHYCARDIA;

EID: 0029768720     PISSN: 01705334     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (77)

1. Allaire PH, Messick JM, Oesterling JE, Byer DE et al : A prospective randomized comparison of epidural infusion of fentanyl and intravenous administration of morphine by patient-controlled analgesia after radical retropubic prost-atectomy. Mayo Clin Proc 67 (1992)1031.
2. Baron J-F, Bertrand M, Barré E, Godet G, Mundler O, Coriat P, Viars P: Combined epidural and general anesthesia versus general anesthesia for abdominal surgery. Anesthesiology 75 (1991) 611.
3. Bach S, Noreng MF, Tjellden NU: Phantom limb pain in amputees during the first 12 months following limb amputation, after preoperative lumbar epidural blockade. Pain 33 (1988) 297.
4. Bailey PL, Pace NL, Ashbitrn MA, Moll JWB, East KA, Stanley TH: Frequent hypoxemia and apnea after sedation with midazolam and fentanyl. Anesthesiology 73 (1990) 826
5. Beattie WM S, Buckley DN, Forrest JB: Epidural morphine reduces the risk of postoperative myocardial ischemia in patients with cardiac risk factors. Can J Anaesth 40 (1993) 532.
6. Blomberg S, Emanuelsson H, Ricksten SE: Thoracic epidural anesthesia and central hemodynamics in patients with unstable angina pectoris. Anesth Analg 69 (1989) 558
7. Breslow MJ, Jordan DA, Christopherson R et al: Epidural morphine decreases postoperative hypertension by attenuating sympathetic nervous system hyperactivity. JAMA 261 (1989) 3577.
8. Brose WG, Cohen SE: Oxyhemoglobin saturation following cesarian section in patients receiving epidural morphine, PCA, or meperidine analgesia. Anesthesiology 70 (1989) 948.
9. Catley DM, Thornton C, Tech JB, Lehane JR, Royston D, Jones JG: Pronounced, episodic oxygen desaturation in the postoperative period: its association with ventilatory pattern and analgesic regimen. Anesthesiology 63 (1985) 20.
10. Chapman CR: Psychological aspects of postoperative pain control. Acta Anaesthesiol Belg 43 (1992) 41.
11. Chestnut DH, Owen CL, Bates JN, Ostmann LG et al: Continuous infusion epidural analgesia during labor: a randomized, double-blind comparison of 0.0625% bupivacaine/ 0.0002% fentanyl versus 0.125% bupivacaine. Anesthesiology 68 (1988) 754.
12. Christopherson R, Beattie C, Frank SM et al: Perioperative morbidity in patients randomized to epidural or general anesthesia for lower extremity vascular surgery. Anesthesiology 79 (1993) 422.
13. Dahl JB, Rosenberg J, Hansen BL, Hjrotso N-C, Kehlet H: Differential analgesic effects of low-dose epidural morphine and morphine-bupivacaine at rest and during mobilization after major abdominal surgery. Anesth Analg 74 (1992) 362.
14. Daley MD, Norman PH, Colmenares ME, Sandler AN: Hypoxaemia in adults in the post-anaesthesia care unit. Can J Anaesth 38 (1991) 740.
15. de Leon-Casasola OA, Lema MJ, Karabella D, Harrison P: Postoperative myocardial ischemia: epidural versus intravenous patient-controlled analgesia. Reg Anesth 20 (1995) 105.
16. Dick W: Erfordert die Verpflichtung zur postoperativen Schmerztherapie ein interdisziplinäres Vorgehen? Anästh Intensivmed 37 (1996) 64.
17. Egan KJ, Ready B: Patient satisfaction with intravenous PCA or epidural morphine. Can J Anaesth 41 (1994) 6.
18. Egbert AM, Parks LH, Short LM, Burnett ML: Randomized trial of postoperative patient-controlled analgesia vs. intramuscular narcotics in frail elderly men. Arch Intern Med 150 (1990) 1897.
19. Eige S: PCA opioids: common side effects and their treatment. In: Sinatra RS, Hord AH, Ginsberg B, Preble LM (eds) Acute pain. Mechanisms & management. Mosby Year Book St Louis Baltimore Boston 1992: p 182.
20. Eisenach JC, Grice SC, Dewan DM: Patient-controlled analgesia following cesarean section: a comparison with epidural and intramuscular narcotics. Anesthesiology 68 (1988) 444.
21. Etches RC: Respiratory depression associated with patient-controlled analgesia: a review of eight cases. Can J Anaesth 41 (1994) 125.
22. Etches RC, Sandler AN, Daley MD: Respiratory depression and spinal opioids. Can J Anaesth 63 (1989) 165.
23. Ferrante FM, Orav EJ, Rocco AG, Gallo J: A statistical model for pain in patient-controlled analgesia and conventional intramuscular opioid regimens. Anesth Analg 67 (1988) 457.
24. Gill NP, Wrigtli B, Reilly CS: Relationship between hypoxaemic and cardiac ischaemic events in the perioperative period. Br J Anaesth 68 (1992) 471.
25. Heinrichs W: Mitteilungen der "DGAI-Kommission für Qualitätssicherung und Datenverarbeitung". Empfehlungen zur Nomenklatur und Erfassung von Daten zur Qualitätssicherung. Anästhesiol Intensivmed 36 (1995) 72.
26. Hjortso NC, Neumann P, Frosig F et al.: A controlled study on the effect of epidural analgesia with local anaesthetics and morphine on morbidity after abdominal surgery. Acta Anaestheiol Scand 29 (1985) 790.
27. Holzinger A, Gegner-Walther L, Frankowski K, Heuser D: Gefährliche Atemdepressionen mit Piritramid-PCA. Der Schmerz 9 (Suppl 1) (1995) S 47.
28. Jähnig W: The sympathetic nervous system in pain. Europ J Anaesth 12 (Suppl 10) (1995) 53.
29. Jage J: Perioperative Schmerztherapie beim Erwachsenen. Ausführungen zum Konzept der balancierten Analgé sie. Der Schmerz 7 (1993) 140.
30. Jage J: Medikamente gegen Tumorschmerzen. Chapman & Hall London Glasgow Weinheim 2. Auflage 1995.
31. Jage, J, Bitdimlic S, Kaufmann P, Jähme E, Dick W, Hartje H: Die Integration einer Fachkrankenschwester in den Akuten Schmerzdienst - ein Erfahrungsbericht. Anästh Intensivmed 36 (1995) 98.
32. Jage, J, Hartje H: Postoperative Schmerztherapie. Anaesthesist (1996) zur Publikation angenommen.
33. Jage J, Jage B, Faust P, Hartje H, Strecker U, Heinrichs W, Dick W (in Vorbereitung) Analyse der Schmerztherapie mit der epiduralen Infusion von Bupivacain 0,06% mit Fentanyl 0,0002% im Vergleich zur i.v.PCA mit Piritramid nach großen abdominellen und retroperitonealen Eingriffen.
34. Jayr C, Thomas H, Rey A et al.: Postoperative pulmonary complications. Epidural analgesia using bupivacaine and opioids versus parenteral opioids. Anesthesiology 78 (1993) 666.
35. Jorgensen LN, Rasmussen LS, Nielsen PT et al: Antithrombotic efficacy of continuous extradural analgesia after knee replacement. Br J Anaesth 66 (1991) 8.
36. Kehlet H: Postoperative pain relief. A look from the other side. Reg Anesth 19 (1994) 369.
37. Kehlet H, Dahl JB: The value of "multimodal" or "balanced analgesia" in postoperative pain treatment. Anesth Analg 77 (1993) 1048.
38. Kock M, Blomberg S, Emanuelsson H et al.: Thoracic epidural anesthesia improves global and regional left ventricular function during stress-induced myocardial ischemia in patients with coronary artery disease. Anesth Analg 71 (1990) 625.
39. Larsson S, Lwidberg D: A prospective survey of postoperative nausea and vomiting with special regard to incidence and relations to patient characteristics, anesthetic routines and surgical procedures. Acta Anaesthesiolo Scand 39 (1995) 539.
40. Lehmann KA: Patientenkontrollierte Analgesie. In: Lehmann KA (Hrsg) Der postoperative Schmerz. Springer Verlag Berlin Heidelberg New York 2. Auflage 1994 S 317.
41. Lehmann KA: Opioidagonisten: Allgemeine Pharmakologie. In: Lehmann KA (Hrsg) Der postoperative Schmerz. Springer Verlag Berlin Heidelberg New York 2. Auflage 1994 S 184-219.
42. Lipfert P: Tachyphylaxie von Lokalanästhetika. Regional-Anaesthesie 12 (1989) 13.
43. Lipfert P, Arndt JO: Kreislaufeffekte rückenmarknaher Leitungsanästhesien. Anaesthesist 42 (1993) 773.
44. Lin S, Carpenter RL, Neal JM: Epidural anesthesia and analgesia. Their role in postoperative outcome. Anesthesiology 82 (1995) 1474.
45. Mahoney OM, Noble PC, Devidson J, Tullos HS: The effete of continous epidural analgesia on postoperative pain, rehabilitation, and duration of hospitalization in total knee arthroplasty. Clin Orthop 260 (1990) 30.
46. Mangano DT, Browner WS, Hollenberg M et al: Association of perioperative ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery. N Engl J Med 323 (1990) 1781.
47. Mangano DT, Siciliano D, Hollengerb M et al.: Postoperative myocardial ischemia. Therapeutic trials using intensive analgesia following surgery. Anesthesiology 76 (1992) 342.
48. Maier Ch, Kibbel K, Mercker S, Wulf H: Postoperative Schmerztherapie auf Allgemeinen Krankenpflegestationen. Anaesthesist 43 (1994) 385.
49. Moiniche S, Hjortso N-C, Hansen BL et al.: The effect of balanced analgesia on early convalescence after major orthopedic surgery. Acta Anaesthesiol Scand 38 (1994) 328.
50. Neugebaner E, Ure B, Driever R, Troidl H: Schmerzmessung und -dokumentation. Anästhesiol Intensivmed 34 (1993) 391.
51. Faschier J, Ritpreht J, Koenders EF et al.: Patient-controlled analgesia (PCA) leads to more postoperative pain relief, but also to more fatigue and less vigour. Acta Anaesthesiol Scand 37 (1993) 659.
52. Pateman JA, Manning CD (editorial). Postoperative myocardial infarction and episodic hypoxemia. Br J Anaesth 63 (1989) 648.
53. Rawal N, Berggren L: Organization of acute pain services: a low-cost model. Pain 57 (1994) 117.
54. Ready LB, Loper KA, Nessly M, Wild L. Postoperative epidural morphine is safe on surgical wards. Anesthesiology 75 (1991) 452.
55. Reeder MK, Muir AD, Foex P et al.: Postoperative myocardial ischaemia: temporal association with nocturnal hypoxaemia. Br J Anaesth 67 (1991) 626.
56. Rose DK, Cohen MM, Wigglesworth DF, DeBoer DP: Critical respiratory events in the postanesthesia care unit. Anestheiology 81 (1994) 410.
57. Rosenberg J: Hypoxaemia in the general surgical ward-a potential risk factor ? Eur J Surg 160 (1994) 675.
58. Rosenberg J, Pedersen MH, Gebuhr P, Kehlet H: Effect of oxygen therapy on late postoperative episodic and constant hypoxaemia. Br J Anaesth 68 (1992) 18.
59. Rosenberg J, Rasmussen V, von Jessen F et al.: Late postoperative episodic and constant hypoxaemia and associated ECG abnormalities. Br J Anaesth 65 (1990) 684.
60. Schug SA, Burell R, Payne J, Tester P: Pre-emptive epidural analgesia may prevent phantom limb pain. Reg Anesth 20 (1995) 256.
61. Schug SA, Fry RA: Continuous regional analgesia in comparison with intravenous opioid administration for routine postoperative pain control. Anaesthesia 49 (1994) 528
62. Schug SA, Torrie JJ: Safety assessment of postoperative pain management by an acute pain service. Pain 55 (1993) 387.
63. Seeling W, Bothner U, Eifert B et al.: Patientenkontrollierte Analgésie versus Epiduralanalgesie mit Bupivacain oder Morphin nach großen abdominellen Eingriffen. Kein Unterschied in der postoperativen Morbidität. Anaesthesist 40 (1991) 614.
64. Seeling W, Rockemann M: Beeinflußt die Schmerztherapie postoperative Morbidität und Letalität? Der Schmerz 7 (1993) 85.
65. Shamrock NE, Cazan MG, Hargett MJ et al.: Changes in mortality after total hip and knee arthroplasty over a tenyear period. Anesth Analg 80 (1995) 242.
66. Steffen P, Opderbeck S, Seeling W: Reduktion des postoperativen Opioidbedarfs durch die perioperative Gabe von Naproxein. Eine randomisierte Doppelblindstudie an 86 unfallcnirurgischen Patienten mittels der intravenösen On-Demand-Analgesie. Der Schmerz 7 (1993) 167.
67. Stehr-Zirngibl S, Zirngibl H, Angster R, Taeger K: Patientenkontrollierte Analgesie (PCA) auf Allgemeinstation: Ein Erfahrungsbericht. Anästhesiol Intensivmed 36 (1995) 128.
68. Thörn S-E, Wattwil M, Näslund I: Postoperative epidural morphine, but not epidural bupivacaine, delays gastric emptying on the first day after chelecystectomy. Reg Anesth 17 (1992) 91.
69. Toner CC, Broomhead CJ, Littlejohn IH et al.: Prediction of postoperative nausea and vomiting using a logistic regression model. Br J Anaesth 76 (1996) 347.
70. Tuman KJ, McCarthy RJ, March RJ et al.: Effetcs of epidural anesthesia and analgesia on coagulation and outcome after major vasculary surgery. Anesth Analg 73 (1991) 696.
71. Heiner C, Klaschik E: PCA-Routineeinsatz in einem kommunalen Krankenhaus. In: Lehmann KA, Klaschik E (Hrsg) On-demand-Analgesie. Wissenschaftl Verlagsabt Abott GmbH Wiesbaden 1991 S 107-116.
72. Ward SE, Gordon D: Application of the American Pain Society quality assurance standards. Pain 56 (1994) 299.
73. Watclia MF, White PF: Postoperative nausea and vomiting. Anesthesiology 77 (1992) 162
74. Wheatley RG, Madej TH, Jackson IJB, Hunter D: The first year's experience of an acute pain service. Br J Anaesth 67 (1991) 353
75. Wheatley RG, Somerville ID, Sapsford DJ, Jones JG: Postoperative hypoxaemia: comparison of extradural, i.m. and patient-controlled opioid analgesia. Br J Anaesth 64 (1990) 267
76. Yaeger MP, Glass DD, Neff RK, Brinck-Johnsen TB: Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 66 (1987) 729
77. Zimmermann DL, Stewart J: Postoperative pain management and acute pain service activity in Canada. Can J Anaesth 40 (1993) 568