Ropivacaine epidural anesthesia and analgesia versus general anesthesia and intravenous patient-controlled analgesia with morphine in the perioperative management of hip replacement

Anesthesia and Analgesia

Volumn 89, Issue 1, 1999, Pages 111-116

  Wulf, Hinnerk ^a   Quitmann, J ^a   Kern, A ^a   Motsch, J ^b   Serf, C D ^b   Klinke, A ^b   Biscoping, J ^c   Fischer, R ^c   Merkle, B ^c   Van Aken, H ^d   Prien, Th ^d   Beland, B ^d   Bachmann Mennenga, B ^e   Veit, G ^e   Hagglof B ^f   Kristoffersson, A ^f   Guilbaud, O ^f   Bauer, H ^g   Meyer Sabellek, W ^g  

^a UNIVERSITY HOSPITAL SCHLESWIG HOLSTEIN   (Germany)

^b UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

^c St Vincentius Hospital   (Germany)

^d UNIVERSITY HOSPITAL MÜNSTER   (Germany)

^e KLINIKUM MINDEN   (Germany)

^f ASTRAZENECA R AND D   (Sweden)

^g Astra GmbH   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

FENTANYL; ISOFLURANE; MORPHINE; NITROUS OXIDE; ROPIVACAINE;

ADULT; ARTICLE; BRADYCARDIA; CONTROLLED STUDY; EPIDURAL ANESTHESIA; EPIDURAL DRUG ADMINISTRATION; FEMALE; GENERAL ANESTHESIA; HUMAN; HYPOTENSION; INTRAVENOUS DRUG ADMINISTRATION; MAJOR CLINICAL STUDY; MAJOR SURGERY; MALE; NAUSEA; PATIENT CONTROLLED ANALGESIA; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; RECOVERY ROOM; TOTAL HIP PROSTHESIS; VOMITING;

AMIDES; ANALGESIA, EPIDURAL; ANALGESIA, PATIENT-CONTROLLED; ANESTHESIA, EPIDURAL; ANESTHESIA, GENERAL; ANESTHETICS, LOCAL; ARTHROPLASTY, REPLACEMENT, HIP; HUMANS; MORPHINE; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES;

EID: 0345161421     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000539-199907000-00019     Document Type: Article

References (25)

1. Bruster S, Jarman B, Bosanquet N, et al. National survey of hospital patients. BMJ 1994;309:1542-6.
2. Sidebotham D, Dijkhuizen RJ, Schug S. The safety and utilization of patient-controlled analgesia. J Pain Symptom Manag 1997;14:202-9.
3. Ballantyne JC, Carr DB, Chalmers TC, et al. Postoperative patient controlled analgesia: meta-analysis of initial randomized controlled trials. J Clin Anesth 1993;5:182-93.
4. Ahn H, Bronge A, Johansson K, et al. Effect of continuous postoperative epidural analgesia on intestinal motility. Br J Surg 1988;75:1176-8.
5. Bredtmann RD, Herden HN, Teichmann W, et al. Epidural analgesia in colonic surgery: results of a randomized prospective study. Br J Surg 1990;77:638-42.
6. Jayr C, Thomas H, Rey A, et al. Postoperative pulmonary complications: epidural analgesia using bupivacaine and opioids versus parenteral opioids. Anesthesiology 1993;78:666-76.
7. Jage J, Faust P, Strecker U, et al. Clinical efficiency of postoperative analgesia with IV-PCA or continuous epidural analgesia. Anaesthesiol Intensiv 1996;37:459-75.
8. Aldrete JA, Kroulik D. A postanesthetic recovery score. Anesth Analg 1970;49:924-33.
9. Atanassoff PG, Brull SJ, Rosenquist R, et al. Postoperative analgesia with epidural ropivacaine versus PCA morphine for total knee replacement [abstract]. Anesth Analg 1998;86:S254.
10. Rockemann MG, Seeling W, Schirmer U, et al. Efficacy, side effects and costs of postoperative pain therapy: intravenous and epidural patient-controlled analgesia (PCA) [abstract in English]. Anaesthesiol Intensivmed Notfallmed Schmerzther 1997; 32:414-9.
11. 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.
12. McClure JH. Ropivacaine. Br J Anaesth 1996;76:300-7.
13. Badner NH, Reid D, Sullivan P, et al. Continuous epidural infusion of ropivacaine for the prevention of postoperative pain after major orthopaedic surgery: a dose finding study. Can J Anaesth 1996;43:17-22.
14. Scott DA, Emanuelson BM, Mooney PH, et al. Pharmacokinetics and efficacy of long-term epidural ropivacaine infusion for postoperative analgesia. Anesth Analg 1997;85:1322-30.
15. Erichsen CJ, Sjövall J, Kehlet H, et al. Pharmacokinetic and analgesic effect of ropivacaine during continuous epidural infusion for postoperative pain relief. Anesthesiology 1996;84: 834-42.
16. Schug SA, Scott DA, Payne J, et al. Postoperative analgesia by continuous extradural infusion of ropivacaine after upper abdominal surgery. Br J Anaesth 1996;76:487-91.
17. Knudsen K, Beckmann-Suurküla M, Blomberg S, et al. Central nervous and cardiovascular effects of i.v. infusion of ropivacaine, bupivacaine and placebo in volunteers. Br J Anaesth 1997;78:507-14.
18. McNitt JD, Kelly JB, Bode ET. Effect of choice of anesthetic method on length of recovery room stay. Reg Anesth 1997;22:86.
19. McBeath DM, Shah J, Sebastian L, Sledzinski K. The effect of patient controlled analgesia and continuous epidural infusion on length of the hospital stay after total knee or total hip replacement. CRNA 1995;6:31-6.
20. Scott NB, Kehlet H. Regional anaesthesia and surgical morbidity. Br J Surg 1988;75:299-304.
21. Liu S, Carpenter RL, Neal JM. Epidural anesthesia and analgesia: their role in postoperative outcome. Anesthesiology 1995;82:1474-506.
22. Rose DK, Cohen MM, Yee DA. Changing the practice of pain management. Anesth Analg 1997;84:764-72.
23. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 1997;78:606-17.
24. Brodner G, Pogatzki E, Van Aken H, et al. A multimodal approach to control postoperative pathophysiology and rehabilitation in patients undergoing abdominothoracic esophagectomy. Anesth Analg 1998;86:228-34.
25. Wulf H, Schug SA, Allvin R, Kehlet H. Postoperative patient management: how can we make progress? Acute Pain 1998;1: 32-44.