An Economic Evaluation of Bupivacaine Plus Fentanyl Versus Ropivacaine Alone for Patient-Controlled Epidural Analgesia After Total-Knee Replacement Procedure: A Double-Blinded Randomized Study

Regional Anesthesia and Pain Medicine

Volumn 30, Issue 5, 2005, Pages 446-451

  Pitimana aree, Siriporn ^a   Visalyaputra, Shusee ^a   Komoltri, Chulaluk ^a   Muangman, Saipin ^a   Tiviraj, Supinya ^a   Puangchan, Supranee ^a   Immark, Pattada ^a  

^a MAHIDOL UNIVERSITY   (Thailand)

Author keywords

Bupivacaine; Cost effectiveness; Fentanyl; Patient controlled epidural analgesia (PCEA); Ropivacaine; Total knee replacement

Indexed keywords

ANTIPRURITIC AGENT; BUPIVACAINE; FENTANYL; ONDANSETRON; OPIATE; ROPIVACAINE; AMIDE; ANESTHETIC AGENT; INTRAVENOUS ANESTHETIC AGENT; LOCAL ANESTHETIC AGENT;

ADULT; AGED; ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; DOUBLE BLIND PROCEDURE; DRUG COST; ECONOMICS; EPIDURAL ANESTHESIA; EXPERIENCE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MOTOR DYSFUNCTION; MOVEMENT (PHYSIOLOGY); PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PROSPECTIVE STUDY; PRURITUS; RANDOMIZED CONTROLLED TRIAL; REST; SCORING SYSTEM; SEDATION; SIDE EFFECT; STATISTICAL ANALYSIS; STATISTICAL SIGNIFICANCE; TOTAL KNEE REPLACEMENT; TREATMENT OUTCOME; VISUAL ANALOG SCALE; VOMITING; CHEMICALLY INDUCED DISORDER; COST BENEFIT ANALYSIS; KNEE ARTHROPLASTY; METHODOLOGY; POSTOPERATIVE COMPLICATION; STATISTICS;

AGED; AMIDES; ANALGESIA, EPIDURAL; ANALGESIA, PATIENT-CONTROLLED; ANESTHETICS, COMBINED; ANESTHETICS, INTRAVENOUS; ANESTHETICS, LOCAL; ARTHROPLASTY, REPLACEMENT, KNEE; BUPIVACAINE; COST-BENEFIT ANALYSIS; DOUBLE-BLIND METHOD; FEMALE; FENTANYL; HUMANS; MALE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PATIENT SATISFACTION; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES;

EID: 33644843164     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.rapm.2005.05.010     Document Type: Article

References (21)

1. McClure J.H. Ropivacaine. Review article. Br J Anaesth 76 (1996) 300-307
2. Turner G., Blake D., Buckland M., Chamley D., Dawson P., Goodchild C., Mezzatesta J., Scott D.A., Sultana A., Walker S., Hendrata M., Mooney P., and Armstrong M. Continuous extradural infusion of ropivacaine for prevention of postoperative pain after major orthopaedic surgery. Br J Anaesth 76 (1996) 606-610
3. Etches R., Ansley D., and Badner N. Continuous epidural infusion of ropivacaine for the prevention of postoperative pain after major abdominal surgery. A volume response study. Anesth Analg 80 (1995) 511-516
4. Badner N., Sullivan P., Ganapathy S., Crosby E.T., McKenna J., and Lui A. Continuous epidural infusion of ropivacaine for the prevention of postoperative pain after major orthopaedic surgery. A dose finding study. Can J Anesth 43 (1996) 17-22
5. Lui S., Moore J., Luo A., Trautman W.J., and Carpenter R.L. Comparison of three solutions of ropivacaine/fentanyl for postoperative patient-controlled epidural analgesia. Anesthesiology 90 (1999) 727-733
6. Kampe S., Weigand C., Kaufmann J., Klimek M., König D.P., and Lynch J. Postoperative analgesia with no motor block by continuous epidural infusion of ropivacaine 0.1% and sufentanyl after total hip replacement. Anesth Analg 89 (1999) 395-398
7. Scott D., Blake D., Buckland M., Etches R., Halliwell R., Marsland C., Merridew G., Murphy D., Paech M., Schug S., Turner G., Walker S., Huizar K., and Gustafsson U. A comparison of epidural ropivacaine infusion alone and in combination with 1, 2, and 4 microgram/mL fentanyl for seventy-two hours of postoperative analgesia after major abdominal surgery. Anesth Analg 88 (1999) 857-864
8. Jones B., Jarvis P., Lewis J.A., and Ebbutt A.F. Trials to assess equivalence. The importance of rigorous methods. Br Med J 313 (1996) 36-39
9. Lorenzini C., Moreira L.B., and Ferreira M.B. Efficacy of ropivacaine compared with ropivacaine plus sufentanyl for postoperative analgesia after major knee surgery. Anaesthesia 57 (2002) 424-428
10. Pouzeratte Y., Delay J., Brunat G., Vergne C., Jaber S., Fabre J.M., Colson P., and Mann C. Patient-controlled epidural analgesia after abdominal surgery. Ropivacaine versus bupivacaine. Anesth Analg 93 (2001) 1587-1592
11. Wulf H., Biscoping J., Beland B., Bachmann-Mennenga B., and Motsch J. Ropivacaine epidural anesthesia and analgesia versus general anesthesia and intravenous patient-controlled analgesia with morphine in the perioperative management of hip replaccement. Anesth Analg 89 (1999) 111-116
12. Berti M., Casati A., Fanelli G., Albertin A., Pulmisano S., Danelli G., Cormotti L., and Torri G. 0.2% ropivacaine with or without fentanyl for patient-controlled epidural analgesia after major abdominal surgery. A double-blind study. J Clin Anesth 12 (2000) 292-297
13. Finucane B., Ganapathy S., Carli F., Pridham J.N., Ong B.Y., Shukla R.C., Kristoffersson A.H.M., Huizar K.M., Nevin K., and Ahlén K.G. Prolonged epidural infusions of ropivacaine (2 mg/mL) after colonic surgery. The impact of adding fentanyl. Anesth Analg 92 (2001) 1276-1285
14. Owen M.D., D'Angelo R., Gerancher J.C., Thompson J.M., Foss M.L., Babb J.D., and Eisenach J.C. 0.125% ropivacaine is similar to 0.125% bupivacaine for labor analgesia using patient-controlled epidural infusion. Anesth Analg 86 (1998) 527-531
15. Meister G.C., D'Angelo R., Owen M.D., Nelson K.E., and Graver R. A comparison of epidural analgesia with 0.125% ropivacaine with fentanyl versus 0.125% bupivacaine with fentanyl during labor. Anesth Analg 90 (2000) 632-637
16. Capogna G., Celleno D., Fusco P., Lyons G., and Columb M. Relative potencies of bupivacaine and ropivacaine for analgesia in labor. Br J Anaesth 82 (1999) 371-373
17. Polley L.S., Columb M.O., Naughton N.N., Wagner D.S., and van de Ven C.J.M. Relative analgesic potencies of ropivacaine and bupivacaine for epidural analgesia in labor. Anesthesiology 90 (1999) 944-950
18. Berti M., Fanelli G., Casati A., Albertin A., Palsimano S., Deni F., Perotti V., and Torri G. Patient supplemented epidural analgesia after major abdominal surgery with bupivacaine/fentanyl or ropivacaine/fentanyl. Can J Anaesth 47 (2000) 27-32
19. Brodner G., Norbert M., Van Aken H., Pogatzki E., Buerkle H., Marcus M.A., and Mollhoff T. Epidural analgesia with local anesthesics after abdominal surgery. Earlier motor recovery with 0.2% ropivacaine than 0.175% bupivacaine. Anesth Analg 88 (1999) 128-133
20. Jogensen H., Fomsgaard J.S., Dirks J., Wetterslev J., and Dahl J.B. Effect of continuous epidural 0.2% ropivacaine vs 0.2% bupivacaine on postoperative pain, motor block and gastrointestinal function after abdominal hysterectomy. Br J Anesth 84 (2000) 144-150
21. Berti M., Casati A., Fanelli G., Albertin A., Palmisano S., Danelli G., Cormotti L., and Torri G. Postoperative analgesia by combined continuous infusion and patient-controlled epidural analgesia (PCEA) following hip replacement. Ropivacaine versus bupivacaine. Acta Anaesthesiol Scand 45 (2001) 782-785