The effectiveness of continuous epidural infusion of low-dose fentanyl and mepivacaine in perioperative analgesia and hemodynamic control in mastectomy patients

Journal of Clinical Anesthesia

Volumn 16, Issue 2, 2004, Pages 88-91

  Kotake, Yoshifumi ^a,b   Matsumoto, Midori ^a   Morisaki, Hiroshi ^a,b   Takeda, Junzo ^a,b  

^a Kyosai Tachikawa Hospital   (Japan)

^b KEIO UNIVERSITY   (Japan)

Author keywords

Cervical epidural block; Fentanyl; Mastectomy; Mepivacaine

Indexed keywords

BUPRENORPHINE; DICLOFENAC; FENTANYL; MEPIVACAINE; NITROUS OXIDE; OXYGEN; SEVOFLURANE;

ADULT; ANESTHESIA INDUCTION; ANTINOCICEPTION; ARTICLE; CLINICAL ARTICLE; CLINICAL PROTOCOL; CONTINUOUS EPIDURAL ANESTHESIA; CONTROLLED STUDY; DISEASE CLASSIFICATION; DIZZINESS; DRUG EFFECT; DRUG INFUSION; EPIDURAL CATHETER; FEMALE; FEMININITY; HEART RATE; HOSPITAL BED CAPACITY; HUMAN; INTRAOPERATIVE PERIOD; LOCAL ANESTHESIA; LOW DRUG DOSE; MASTECTOMY; MEAN ARTERIAL PRESSURE; MEDICAL RECORD; NAUSEA; PERIOPERATIVE PERIOD; POSTOPERATIVE PAIN; PREMEDICATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RESPIRATION DEPRESSION; UNIVERSITY HOSPITAL;

ANALGESIA, EPIDURAL; ANESTHESIA, GENERAL; ANESTHETICS, COMBINED; ANESTHETICS, INHALATION; ANESTHETICS, INTRAVENOUS; ANESTHETICS, LOCAL; BLOOD PRESSURE; FEMALE; FENTANYL; HEART RATE; HUMANS; MASTECTOMY, MODIFIED RADICAL; MEPIVACAINE; METHYL ETHERS; MIDDLE AGED; NITROUS OXIDE; PAIN, POSTOPERATIVE; POSTOPERATIVE NAUSEA AND VOMITING;

EID: 2142712384     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jclinane.2003.05.005     Document Type: Article

References (12)

1. Benzon H. Infusions for the management of postoperative and labor pain. Fragen R. Drug Infusions in Anesthesiology. 2d ed:1996;173-191 Lippincott-Raven, Philadelphia.
2. Bloomstone J., Borsook D. Pain. Hurford W., Bailin M., Davison J., et al. Clinical Anesthesia Procedures of the Massachusetts General Hospital. 5th ed:1997;661-688 Lippincott-Raven, Philadelphia.
3. Peng P.W., Sandler A.N. A review of the use of fentanyl analgesia in the management of acute pain in adults. Anesthesiology. 90:1999;576-599.
4. Lynch E.P., Welch K.J., Carabuena J.M., Eberlein T.J. Thoracic epidural anesthesia improves outcome after breast surgery. Ann Surg. 222:1995;663-669.
5. Yeh C.C., Yu J.C., Wu C.T., Ho S.T., Chang T.M., Wong C.S. Thoracic epidural anesthesia for pain relief and postoperation recovery with modified radical mastectomy. World J Surg. 23:1999;256-261.
6. Doss N.W., Ipe J., Crimi T., et al. Continuous thoracic epidural anesthesia with 0.2% ropivacaine versus general anesthesia for perioperative management of modified radical mastectomy. Anesth Analg. 92:2001;1552-1557.
7. Correll D.J., Viscusi E.R., Grunwald Z., Moore J.H. Jr. Epidural analgesia compared with intravenous morphine patient-controlled analgesia postoperative outcome measures after mastectomy with immediate TRAM flap breast reconstruction. Reg Anesth Pain Med. 26:2001;444-449.
8. Cousins M., Veering B. Epidural neural blockade. Cousins M.J., Bridenbaugh P. Neural Blockade in Clinical Anesthesia and Management of Pain. 3rd ed:1998;243-342 Lippincott-Raven, Philadelphia.
9. Kosaka Y., Takahashi H., Yao K., et al. Epidural analgesia for mastectomy. Masui. 27:1978;606-611.
10. Jarosz J., Pihowicz A., Towpik E. The application of continuous thoracic epidural anaesthesia in outpatient oncological and reconstructive surgery of the breast. Eur J Surg Oncol. 17:1991;599-602.
11. Stevens R.A., Frey K., Sheikh T., Kao T.C., Mikat-Stevens M., Morales M. Time course of the effects of cervical epidural anesthesia on pulmonary function. Reg Anesth Pain Med. 23:1998;20-24.
12. Staps T., Hoogenhout J., Wobbes T. Phantom breast sensations following mastectomy. Cancer. 56:1985;2898-2901.