Comparison of morphine with and without fentanyl for epidural analgesia after major abdominal surgery

Regional Anesthesia

Volumn 21, Issue 3, 1996, Pages 175-181

  Chrubasik, Sigrun ^a   Chrubasik, Joachim ^a,c   Pfisterer, Markus ^a   Hage, Rolf ^a   Schulte Mönting, Jürgen ^b  

^a UNIVERSITY OF HEIDELBERG   (Germany)

^b UNIVERSITY OF FREIBURG   (Germany)

^c UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

Author keywords

analgesia; epidural; fentanyl; morphine; opioid; postoperative

Indexed keywords

FENTANYL; MORPHINE;

ABDOMINAL SURGERY; ADULT; ANALGESIA; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG BLOOD LEVEL; DRUG POTENCY; DRUG POTENTIATION; EPIDURAL ANESTHESIA; FEMALE; HUMAN; MALE; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RESPIRATION DEPRESSION;

ABDOMEN; ADULT; AGED; ANALGESIA, EPIDURAL; ANALGESICS, OPIOID; DRUG THERAPY, COMBINATION; FEMALE; FENTANYL; HUMANS; MALE; MIDDLE AGED; MORPHINE; PAIN, POSTOPERATIVE;

EID: 0029968770     PISSN: 0146521X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (26)

1. Lema MJ, Reiestad F. A comparison of epidural alfentanil, morphine and alfentanil-morphine combinations for postoperative analgesia after total hip replacement (THR). Anesthesiology 1989: 71(suppl): A702.
2. Tanaka M, Watanabe S, Ashimura H, Akiyoshi Y, Nishijima Y, Sato S, Naito H. Minimum effective combination dose of epidural morphine and fentanyl for posthysterectomy analgesia: A randomized, prospective, double-blind study. Anesth Analg 1993: 77: 942-946.
3. Tanaka M, Watanabe S, Endo T, Okane M, Hamaya Y. Combination of epidural morphine and fentanyl for postoperative analgesia. Reg Anesth 1991: 16: 214-217.
4. Sinatra RS, Sevarino FB, Chung JH, Graf G, Paige D, Takla V, Silverman DG. Comparison of epidurally administered sufentanil, morphine, and sufentanil-morphine combination for postoperative analgesia. Anesth Analg 1991: 72: 522-527.
5. Dottrens M, Rifat K, Morel DR. Comparison of extradural administration of sufentanil, morphine and sufentanil-morphine combination after caesarean section. Br J Anaesth 1992: 69: 9-12.
6. Chrubasik J, Wiemers K. Continuous-plus-on-demand epidural infusion of morphine for postoperative pain relief by means of a small, externally worn infusion device. Anesthesiology 1985: 62: 263-267.
7. Chrubasik J, Wüst H, Schulte-Mönting J, Thon K, Zindler M. Relative analgesic potency of epidural fentanyl, alfentanil, and morphine in treatment of postoperative pain. Anesthesiology 1988: 68: 929-933.
8. Geller E, Chrubasik J, Graf R, Chrubasik S, Schulte-Mönting J. A randomized double-blind comparison of epidural sufentanil versus intravenous sufentanil or epidural fentanyl analgesia after major abdominal surgery. Anesth Analg 1993: 76: 1243-1250.
9. Owen H, Kluger MT, Plummer JL. Variables of patient-controlled analgesia 4: The relevance of bolus dose to supplement a background infusion. Anaesthesia 1990: 45: 619-622.
10. Owen H, Szekely SM, Plummer JL, Cushnie JM, Mather LE. Variables of patient controlled analgesia: Concurrent infusion. Anaesthesia 1989: 44: 11-13.
11. Wu MYC, Purcell GJ. Patient-controlled analgesia the value of a background infusion. Anaesth Intensive Care 1990: 18: 575-576.
12. Parker RK, Holtmann B, White PF. Effects of a night-time opioid infusion with PCA therapy on patient comfort and analgesic requirements after abdominal hysterectomy. Anesthesiology 1992: 76: 362-367.
13. Sinatra R, Chung KS, Silverman DG, Brull SJ, Chung J, Harrison DM, Danielson D, Weinstock A. An evaluation of morphine and oxymorphone administered via patient-controlled analgesia (PCA) or PCA plus basal infusion in postcesarean-delivery patients. Anesthesiology 1989: 71: 502-507.
14. Doyle E, Robinson D, Morton NS. Comparison of pa tient-controlled analgesia with and without a background infusion after lower abdominal surgery in children. Br J Anaesth 1993: 71: 670-673.
15. McCoy EP, Furness G, Wright PMC. Patient-controlled analgesia with and without background infusion. Analgesia assessed using the demand:delivery ratio. Anaesthesia 1993: 48: 256-265.
16. Doyle E, Harper I, Morton NS. Patient-controlled analgesia with low dose background infusions after lower abdominal surgery in children. Br J Anaesth 1993: 71: 818-822.
17. McKenzie R, Rudy T, Tantisira B. Comparison of PCA alone and PCA with continuous infusion on pain relief and quality of sleep. Anesthesiology 1990: 73(suppl): A787.
18. Lubenow TR, Tanck EN, Hopkins EM, McCarthy RJ, Ivankovich AD. Comparison of patient-assisted epidural analgesia with continuous-infusion epidural analgesia for postoperative patients. Reg Anesth 1994: 19: 206-211.
19. Chrubasik J, Vogel W, Trötschler H, Farthmann EH. Continuous-plus-on-demand epidural infusion of buprenorphine versus morphine in postoperative treatment of pain. Drug Res 1987: 37: 361-363.
20. Chrubasik J, Vogel W, Friedrich G. Morphinkonzentrationen im Serum unter bedarfsgesteuerter periduraler Morphininfusion. Anasth Intensivther Notfallmed 1984: 19: 231-234.
21. Chrubasik J, Scholler K, Wiemers K, Weigel K, Friedrich G. Low-dose infusion of morphine prevents respiratory depression. Lancet 1984: 1: 793.
22. Cohen SE, Subak LL, Brose WG, Halpern J. Analgesia after cesarean delivery: Patient evaluations and costs of five opioid techniques. Reg Anesth 1991: 16: 141-149.
23. Vincent RD Jr, Chestnut DH, Choi WW, Ostman PLG, Bates JN. Does epidural fentanyl decrease the efficacy of epidural morphine after cesarean delivery? Anesth Analg 1992: 74: 658-663.
24. Chrubasik J, Chrubasik S, Martin E. The ideal epidural opioid - fact or fantasy? Eur J Anaesthesiol 1993: 10: 79-100.
25. Fürst S. Pharmacological interaction of opiates with various classes of centrally acting dopaminergic drugs. Drug Metab Drug Interact 1991: 9: 77-102.
26. Chrubasik J, Chrubasik S, Black A. Respiratory depression after extradural fentanyl. Br J Anaesth 1993: 71: 164-166.