Postoperative epidural opioid analgesia: What are the choices?

Anesthesia and Analgesia

Volumn 83, Issue 4, 1996, Pages 867-875

  De Leon Casasola, Oscar A ^a,b   Lema, Mark J ^a  

^a UNIVERSITY AT BUFFALO   (United States)

^b ROSWELL PARK CANCER INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALFENTANIL; BUPIVACAINE; FENTANYL; HYDROMORPHONE; LIDOCAINE; LOCAL ANESTHETIC AGENT; MORPHINE; OPIATE AGONIST; PETHIDINE; SUFENTANIL;

ANALGESIA; ANESTHESIA MECHANISM; CANCER PAIN; CLINICAL ARTICLE; DRUG INFUSION; DRUG MIXTURE; EPIDURAL ANESTHESIA; HUMAN; INTRAVENOUS DRUG ADMINISTRATION; ORAL DRUG ADMINISTRATION; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PRURITUS; RESPIRATION DEPRESSION; REVIEW; SOMNOLENCE;

ANALGESIA, EPIDURAL; ANALGESICS, OPIOID; ANESTHETICS, LOCAL; DOSE-RESPONSE RELATIONSHIP, DRUG; HUMANS; INCIDENCE; INJECTIONS, INTRAVENOUS; LIPIDS; PAIN, POSTOPERATIVE; SPINAL CORD; WATER;

EID: 0029862168     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000539-199610000-00038     Document Type: Review

References (69)

1. Liu S, Carpenter R, Neal JM. Epidural anesthesia and analgesia. Their role in postoperatie outcome. Anesthesiology 1995;82:1474-1506.
2. Negre I, Gueneron JP, Jamali SJ, et al. Preoperative analgesia with epidural morphine. Anesth Analg 1994;79:298-302.
3. Benzon HT, Wong HY, Belavic AM, et al. A randomized double-blind comparison of epidural fentanyl infusion versus patient controlled analgesia with morphine for postthoracotomy pain. Anesth Analg 1992;76:316-22.
4. Hjortso NC, Neumann P, Frosig F, et al. A controlled study on the effect of epidural analgesia with local anesthetics and morphine on morbidity after abdominal surgery. Acta Anaesthesiol Scand 1985;29:705-16.
5. Matloff JM. The practice of medicine in the year 2010. Ann Thorac Surg 1993;55:1311-25.
6. Winickoff RN, Fischer MA, August BJ. Appropriateness of short-stay admissions for procedures in six Veteran Affairs hospitals. QRB 1991;17:386-91.
7. Dickenson AH. Mechanisms of analgesic actions of opiates and opioids. Br Med Bull 1991;47:690-702.
8. Gourlay GK, Cherry DA, Cousins MJ. Cephalad migration of morphine in CSF following lumbar epidural administration in patients with cancer pain. Pain 1985;23:317-26.
9. Bernards CM, Hill HF. Physical and chemical properties of drug molecules governing their diffusion through the spinal meninges. Anesthesiology 1992;77:750-6.
10. Mather LE. Clinical pharmacokinetics of fentanyl and its newer derivatives. Clin Pharmacokinet 1983;8:422-46.
11. Torda TA, Pybus DA. A comparison of four opiates for epidural analgesia. Br J Anaesth 1982;54:291-5.
12. Tomsen A, Hartvig P, Fagerland C, et al. Patient-controlled analgesic therapy. Part II. Individual analgesic demand and analgesic plasma concentrations of pethidine in postoperative pain. Clin Pharmacokinet 1982;7:164-75.
13. Gourlay GK, Kowalski SR, Plummer JL, et al. Fentanyl blood concentration-analgesic response relationship in the treatment of postoperative pain. Anesth Analg 1988;67:329-37.
14. Geller E, Chrubasik J, Graf R, et al. A randomized double-blind comparison of epidural sufentanil versus intravenous sufentanil or epidural fentanyl analgesia after major abdominal surgery. Anesth Analg 1993;76:1243-50.
15. van den Nieuwenhuyzen MCO, Engbers FHM, Burm AGL, et al. Computer-controlled infusion of alfentanil for postoperative analgesia. A pharmacokinetic and pharmacodynamic evaluation. Anesthesiology 1993;79:481-92.
16. Chrubasik J, Chrubasik S, Martin E. The ideal epidural opioid. Fact or fantasy? Eur J Anaesth 1993;10:79-100.
17. Coda B, Cleveland-Brown M, Schaffer R, et al. Pharmacology of epidural fentanyl, alfentanyl and sufentanil in volunteers. Anesthesiology 1994;81:1149-61.
18. Bromage PR, Camporesi EM, Durant PAC, Nielsen CH. Rostral spread of epidural morphine. Anesthesiology 1982;56:431-6.
19. Thomas DA, Williams GM, Iwata K, et al. The medullary dorsal horn: a site of action of morphine in producing facial scratching in monkeys. Anesthesiology 1993;79:548-54.
20. Gourlay GK, Murphy TM, Plummer JL, et al. Pharmacokinetics of fentanyl in lumbar and cervical CSF following lumbar epidural and intravenous administration. Pain 1989;38:253-9.
21. de Leon-Casasola OA, Lema MJ. Epidural sufentanil for acute pain control in a patient with extreme opioid dependency. Anesthesiology 1992;76:853-6.
22. Ready LB, Loper KA, Nessly M, Wild L. Postoperative epidural morphine is safe in the surgical ward. Anesthesiology 1991;75:452-6.
23. de Leon-Casasola OA, Parker B, Lema MJ, et al. Postoperative epidural bupivacaine-morphine therapy. Experience with 4227 surgical cancer patients. Anesthesiology 1994;81:368-75.
24. Rauck RL, Raj PP, Knarr DC, et al. Comparison of the efficacy of epidural morphine given by intermittent injection of continuous infusion for the management of postoperative pain. Reg Anesth 1994;19:316-24.
25. Chaplan SR, Duncan SR, Brodsky JB, Brose W. Morphine and hydromorphone epidural analgesia. Anesthesiology 1992;77:1090-4.
26. Brose WG, Tanelian DL, Brodsky JB, et al. CSF and blood pharmacokinetics of hydromorphone and morphine following lumbar epidural administration. Pain 1991;45:11-5.
27. Roy SD, Flynn GL. Solubility and related physicochemical properties of narcotic analgesics. Pharm Res 1988;5:580-6.
28. Liu S, Carpenter RL, Mulroy MF, et al. Intravenous versus epidural administration of hydromorphone. Effects on analgesia and recovery after radical retropubic prostatectomy. Anesthesiology 1995;82:682-8.
29. Glass PSA, Estok P, Ginsberg B, et al. Use of patient-controlled analgesia to compare the efficacy of epidural to intravenous fentanyl administration. Anesth Analg 1992;74:345-51.
30. Sandier AN, Stringer D, Panos L, et al. A randomized, double blind comparison of lumbar epidural and intravenous fentanyl infusions for postthoracotomy pain relief. Anesthesiology 1992;77:626-34.
31. Loper LA, Ready LB, Downey M, et al. Epidural and intravenous fentanyl infusions are clinically equivalent after knee surgery. Anesth Analg 1990;70:72-5.
32. Ellis DJ, Millar WL, Reisner LS. A randomized double-blind comparison of epidural versus intravenous fentanyl infusion for analgesia after cesarean section. Anesthesiology 1990;72:981-6.
33. Guinard J-P, Mavrocordatos P, Chiolero R, Carpenter RL. A randomized comparison of intravenous versus lumbar and thoracic epidural fentanyl for analgesia after thoracotomy. Anesthesiology 1992;77:1108-15.
34. Salomaki TE, Laitinen JO, Nuutinen LS. A randomized double-blind comparison of epidural versus intravenous fentanyl infusion for analgesia after thoracotomy. Anesthesiology 1991;75:790-5.
35. Welchew EA, Breem DP. Patient-controlled on-demand epidural fentanyl: a comparison of patient-controlled on-demand fentanyl delivered epidurally or intravenously. Anaesthesia 1991;46:438-41.
36. Grant RP, Dolman JF, Harper JA, et al. Patient-controlled lumbar epidural fentanyl compared with patient-controlled intravenous fentanyl for postthoracotomy pain. Can J Anaesth 1992;39:214-9.
37. Miguel R, Barlow I, Morrell M, et al. A prospective, randomized, double-blind comparison of epidural and intravenous sufentanil infusions. Anesthesiology 1994;81:346-52.
38. Swenson JD, Hullander RM, Bready RJ, Leivers D. A comparison of patient controlled epidural analgesia with sufentanil by the lumbar versus thoracic route after thoracotomy. Anesth Analg 1994;78:215-8.
39. Rogers NF, El-Fakahany EE. Morphine-induced opioid receptor down-regulation detected in intact adult brain cells. Eur J Pharmacol 1986;24:221-30.
40. Chavkin C, Goldstein A. Reduction in opiate receptor reserve in morphine-tolerant guinea pig ilea. Life Sci 1982;31:1687-90.
41. Chavkin A, Goldstein A. Opioid receptor reserve in normal and morphine-tolerant guinea pig ileum myenteric plexus. Proc Natl Acad Sci USA 1984;81:7253-7.
42. Trujillo KA, Akil H. Inhibition of morphine tolerance and dependence by the NMDA receptor antagonist MK-801. Science 1991;251:85-7.
43. G-nitro-L-arginine, attenuate analgesic tolerance to the mu-opioid morphine but not to kappa opioids. Pain 1994;56:69-75.
44. Mayer DJ, Mao J, Price DD. The development of morphine tolerance and dependence is associated with translocation of protein kinase C. Pain 1995;61:365-74.
45. ++ block of NMDA-receptor channels as a mechanisms of modulation. Nature 1992;356:521-3.
46. Nestler EJ, Tallman JF. Chronic morphine treatment increase cyclic AMO-dependent protein kinase activity in the rat locus ceruleus. Mol Pharmacol 1988;33:127-32.
47. Cox BM. Molecular and cellular mechanisms in opioid tolerance. In: Basbaum AI, Beeson JM, eds. Towards a new pharmacotherapy of pain. Chichester, UK: John Wiley, 1991.
48. Jaffe JH, Martin WR. Opioid analgesics and antagonists. In: Gilman AG, Goodman LS, Rail TW, Murad F, eds. Goodman and Gilman's the pharmacologic basis of therapeutics. New York: MacMillan, 1985:491-531.
49. Kenakin TP. Pharmacologic analysis of drug-receptor interaction. New York: Raven, 1987.
50. Mjanger E, Yaksh TL. Characteristics of dose-dependent antagonism by b-funaltrexamine of the antinociceptive effect of intrathecal mu agonists. J Pharmacol Exp Ther 1991;258:544-50.
51. Stevens CW, Yaksh TL. Potency of spinal antinociceptive agents is inversely related to magnitude of tolerance after continuous infusion. J Pharmacol Exp Ther 1989;250:1-8.
52. Gebhart GF. Some mechanistic insights into opioid tolerance. Anesthesiology 1990;73:1065-6.
53. de Leon-Casasola OA, Lema MJ. Epidural bupivacaine/sufentanil therapy for postoperative pain control in patients tolerant and unresponsive to epidural bupivacaine/morphine. Anesthesiology 1993;80:303-9.
54. Burm AGL, Haak-van del Lely F, van Kleef JW, et al. Pharmacokinetics of alfentanil after epidural administration. Investigation of systemic absorption kinetics with a stable isotope method. Anesthesiology 1994;81:308-15.
55. Chauvin M, Salbraing J, Perrin D, et al. Clinical assessment and plasma pharmacokinetics associated with intramuscular or extradural alfentanil. Br J Anaesth 1985;57:886-91.
56. Camu F, Debucquoy F. Alfentanil infusion for postoperative pain: a comparison of epidural and intravenous routes. Anesthesiology 1991;75:171-8.
57. Chauvin M, Hongnat JM, Mourgeon E, et al. Equivalence of postoperative analgesia with patient-controlled intravenous and epidural alfentanil. Anesth Analg 1993;76:1251-8.
58. Tejwani GA, Rattan AK, McDonald JS. Role of spinal opioid receptors in the antinociceptive interactions between intrathecal morphine and bupivacaine. Anesth Analg 1992;74:726-34.
59. Wang C, Chakrabarti MK, Whitwan JG. Specific enhancement by fentanyl of the effects of intrathecal bupivacaine on nociceptive afferent but not on sympathetic efferent pathways in dogs. Anesthesiology 1993;79:766-73.
60. Maves TJ, Gebhart GF. Antinociceptive synergy between intrathecal morphine and lidocaine during visceral and somatic nociception in the rat. Anesthesiology 1992;76:91-9.
61. Fraser HM, Chapman V, Dickenson AH. Spinal local anaesthetic action on afferent evoked responses and wind-up of nociceptive neurons in the rat spinal cord: combination with morphine produces marked potentiation of antinociception. Pain 1992;49:33-41.
62. Penning JP, Yaksh TL. Interaction of intrathecal morphine with bupivacaine and lidocaine in the rat. Anesthesiology 1992;77:1186-1200.
63. Chestnut DH, Owen CL, Bates JN, 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 1988;68:754-9.
64. Dahl JB, Rosenberg J, Hansen BL, et al. Differential analgesic effects of low-dose epidural morphine and morphinebupivacaine at rest and during mobilization after major abdominal surgery. Anesth Analg 1992;74:362-5.
65. Badner NH, Reimer EJ, Komar WE, Moote CA. Low-dose bupivacaine does not improve postoperative epidural fentanyl analgesia in orthopedic patients. Anesth Analg 1991;72:337-41.
66. Badner NH, Komar WE. Bupivacaine 0.1% does not improve postoperative epidural fentanyl analgesia after abdominal or thoracic surgery. Can J Anaesth 1992;39:330-6.
67. Gebhart GF. Topical reviews: a new type of report in PAIN [editorial comment]. Pain 1992;49:1.
68. Tallarida R. Statistical analysis of drug combinations for synergy. Pain 1992;49:93-7.
69. Eisenach JC. Aspirin, the miracle drug: spinally, too? [editorial comment]. Anesthesiology 1993;79:211-3.