Motor blockade associated with continuous epidural infusion after abdominal hysterectomy: A randomized controlled trial comparing 0.1% ropivacaine-plus- fentanyl versus 0.2% ropivacaine-alone

Acute Pain

Volumn 6, Issue 1, 2004, Pages 15-21

  Thienthong, Somboon ^a   Krisanaprakornkit, Wimonrat ^a   Horatanaruang, Duenpen ^a   Yimyam, Panaratana ^a   Thinkhamrop, Bandit ^b   Lertakyamanee, Jariya ^c  

^a KHON KAEN UNIVERSITY   (Thailand)

^b KHON KAEN UNIVERSITY   (Thailand)

^c MAHIDOL UNIVERSITY   (Thailand)

Author keywords

Abdominal hysterectomy; Epidural infusion; Fentanyl; Motor blockade; Ropivacaine

Indexed keywords

EPHEDRINE; FENTANYL; METOCLOPRAMIDE; MORPHINE; ONDANSETRON; ROPIVACAINE;

ABDOMINAL HYSTERECTOMY; ADULT; AGED; ANALGESIA; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; EPIDURAL ANESTHESIA; FEMALE; HUMAN; HYPOTENSION; LUMBAR SPINE; MAJOR CLINICAL STUDY; MOTOR NERVE BLOCK; NAUSEA AND VOMITING; NERVE BLOCK; PAIN; PAIN ASSESSMENT; PATIENT SATISFACTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PRURITUS; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; RESPIRATION DEPRESSION; SEDATION; SENSORY NERVE; SIDE EFFECT; VISUAL ANALOG SCALE; VOMITING;

EID: 2342591379     PISSN: 13660071     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.acpain.2004.02.001     Document Type: Article

References (23)

1. Ballantyne J.C., Carr D.B., de Ferranti S. The comparative effects of postoperative of postoperative analgesic therapies on pulmonary outcomes: cumulative meta-analyses of randomized, controlled trials. Anesth. Analg. 86:1998;598-612
2. Breivik H. High-tech versus low-tech approaches to postoperative pain management. In: Devor M, Rowbotham MC, Wiesenfeld-Hallin Z, editors. Progress in pain research and management. Proceeding of the Ninth World Congress on Pain. Seattle: IASP Press; 2000. p. 787-807.
3. Liu S., Carpenter R.L., Neal J.M. Epidural anesthesia and analgesia. Their role in postoperative outcome. Anesthesiology. 82:1995;1474-1506
4. Jorgensen H, Wetterslev J, Moiniche S, Dahl JB. Epidural local anaesthetics versus opioid-based analgesic regimens on postoperative gastrointestinal paralysis, PONV and pain after abdominal surgery. Cochrane Database Syst Rev 2000;4.
5. Liu S.S., Allen H.W., Olsson G.L. Patient-controlled epidural analgesia with bupivacaine and fentanyl on hospital wards. Prospective experience with 1, 030 surgical patients. Anesthesiology. 88:1998;688-695
6. Kaneko M., Saito Y., Kirihara Y., Collins J.G., Kosaka Y. Synergistic antinociceptive interaction after epidural coadministration of morphine and lidocaine in rats. Anesthesiology. 80:1994;137-150
7. Kampe S., Weigand C., Kaufmann J., Klimek M., Konig D.P., Lynch J. Postoperative analgesia with no motor block by continuous epidural infusion of ropivacaine 0.1% and sufentanil after total hip replacement. Anesth. Analg. 89(2):1999;395-398
8. Buggy D.J., Hall N.A., Shah J., Brown J., Williams J. Motor block during patient-controlled epidural analgesia with ropivacaine or ropivacaine/fentanyl after intrathecal bupivacaine for caesarean section. Br. J. Anaesth. 85(3):2000;468-470
9. Zaric D., Nydahl P.A., Philipson L., Samuelsson L., Heierson A., Axelsson K. The effect of continuous lumbar epidural infusion of ropivacaine (0.1%, 0.2%, and 0.3%) and 0.25% bupivacaine on sensory and motor block in volunteers: a double-blind study. Reg. Anesth. 21(1):1996;14-25
10. Fischer C., Blanie P., Jaouen E., Vayssiere C., Kaloul I., Coltat J.C. Ropivacaine, 0.1%, plus sufentanil, 0.5 microg/ml, versus bupivacaine, 0.1%, plus sufentanil, 0.5 microg/ml, using patient-controlled epidural analgesia for labor: a double-blind comparison. Anesthesiology. 92(6):2000;1588-1593
11. Scott D.B., Lee A., Fagan D., Bowler G.M., Bloomfield P., Lundh R. Acute toxicity of ropivacaine compared with that of bupivacaine. Anesth. Analg. 69(5):1989;563-569
12. Scott D.A., Chamley D.M., Mooney P.H., Deam R.K., Mark A.H., Hagglof B. Epidural ropivacaine infusion for postoperative analgesia after major lower abdominal surgery - a dose finding study. Anesth. Analg. 81(5):1995;982-986
13. Jayr C., Beaussier M., Gustafsson U., Leteurnier Y., Nathan N., Plaud B., et al. Continuous epidural infusion of ropivacaine for postoperative analgesia after major abdominal surgery: comparative study with i.v. PCA morphine. Br. J. Anaesth. 81(6):1998;887-892
14. Chinachoti T., Niruthisard S., Tuntisirin O., Thienthong S., Khunsongkiet P., Payawal F., et al. A double-blind, randomized study comparing postoperative pain management using epidural ropivacaine with intravenous ketorolac or intravenous ketorolac alone following transabdominal hysterectomy. J. Med. Assoc. Thai. 85(Suppl. 3):2002;837-847
15. AstraZeneca. A double blind randomized study comparing postoperative pain management in Filipino and Thai patients administered ropivacaine epidurally in combination with ketorolac or ketorolac alone following transabdominal hysterectomy. Internal Statistical Report, Singapore, 2000. p. 38.
16. Etches R.C., Writer W.D., Ansley D., Nydahl P.A., Ong B.Y., Lui A., et al. Continuous epidural ropivacaine 0.2% for analgesia after lower abdominal surgery. Anesth. Analg. 84(4):1997;784-790
17. Zaric D., Axelsson K., Nydahl P., Philipsson L., Larsson P., Jansson J. Sensory and motor blockade during epidural analgesia with 1%, 0.75%, and 0.5% ropivacaine - a double-blind study. Anesth. Analg. 72(4):1991;509-515
18. Bromage P. Aging and epidural dose requirements: segmental spread and predictability of epidural analgesia in youth and extreme age. Br. J. Anaesth. 41:1969;1016-1022
19. Cousins MJ, Veering BT. Epidural neural blockade. In: Cousins MJ, Bridenbaugh PO, editors. Neural blockade in clinical anesthesia and pain management. 3rd ed. Philadelphia: Lippincott-Raven; 1998. p. 243-321.
20. Liu S.S., Moore J.M., Luo A.M., Trautman W.J., Carpenter R.L. Comparison of three solutions of ropivacaine/fentanyl for postoperative patient-controlled epidural analgesia. Anesthesiology. 90(3):1999;727-733
21. Scott D.A., Blake D., Buckland M., Etches R., Halliwell R., Marsland C., et al. A comparison of epidural ropivacaine infusion alone and in combination with 1, 2, and 4 microg/ml fentanyl for seventy-two hours of postoperative analgesia after major abdominal surgery. Anesth. Analg. 88(4):1999;857-864
22. Scott D.A., Beilby D.S.N., McClymont C. Postoperative analgesia using epidural infusions of fentanyl with bupivacaine. A prospective analysis of 1, 014 patients. Anesthesiology. 83:1995;727-737
23. Brodner G., Mertes N., Van Aken H., Pogatzki E., Buerkle H., Marcus M.A., et al. Epidural analgesia with local anesthetics after abdominal surgery: earlier motor recovery with 0.2% ropivacaine than 0.175% bupivacaine. Anesth. Analg. 88(1):1999;128-133