Regression of sensory and motor blockade, and analgesia during continuous epidural infusion of ropivacaine and fentanyl in comparison with other local anesthetics

Pain Medicine

Volumn 8, Issue 7, 2007, Pages 546-553

  Kanai, Akifumi ^a   Osawa, Satoru ^a   Suzuki, Asaha ^a   Ozawa, Akiko ^a   Okamoto, Hirotsugu ^a   Hoka, Sumio ^a  

^a KITASATO UNIVERSITY SCHOOL OF MEDICINE   (Japan)

Author keywords

Epidural Block; Fentanyl; Ropivacaine

Indexed keywords

BUPIVACAINE; FENTANYL; LIDOCAINE; LOCAL ANESTHETIC AGENT; ROPIVACAINE;

ADULT; AGED; ANALGESIA; ANESTHESIA MECHANISM; ANESTHESIOLOGICAL TECHNIQUES; ARTICLE; BOLUS INJECTION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTINUOUS INFUSION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG EFFICACY; EPIDURAL ANESTHESIA; FEMALE; GYNECOLOGIC SURGERY; HUMAN; INFUSION RATE; MALE; NERVE BLOCK; ORTHOPEDIC SURGERY; PAIN; POSTOPERATIVE PERIOD; PREMEDICATION; RANDOMIZED CONTROLLED TRIAL; VISUAL ANALOG SCALE;

ADJUVANTS, ANESTHESIA; AMIDES; ANESTHESIA, EPIDURAL; ANESTHETICS, LOCAL; DRUG THERAPY, COMBINATION; FEMALE; FENTANYL; HUMANS; INFUSIONS, INTRA-ARTERIAL; INJECTIONS, EPIDURAL; MALE; MIDDLE AGED; MOVEMENT; NERVE BLOCK; SENSATION; TREATMENT OUTCOME;

EID: 34848916401     PISSN: 15262375     EISSN: 15264637     Source Type: Journal    
DOI: 10.1111/j.1526-4637.2006.00174.x     Document Type: Article

References (22)

1. Bromage PR, Pettigrew RT, Crowell DE. Tachyphylaxis in epidural analgesia: 1. Augmentation and decay of local anesthesia. J Clin Pharmacol J New Drugs 1969; 9: 30-8.
2. Renck H. Tachyphylaxis during postoperative peridural analgesia of long action. Anaesthesiol Intens Care Med 1980; 124: 188-91.
3. Bigler D, Lund C, Mogensen T, Hjortsø N-C, Kehlet H. Tachyphylaxis during postoperative epidural analgesia - New insights. Acta Anaesthesiol Scand 1987; 31: 664-5.
4. Bigler D, Hjortsø N-C, Kehlet H. Variation in spread of sensory and cold analgesia during intermittent postoperative epidural bupivacaine administration. Acta Anaesthesiol Scand 1986; 30: 289-92.
5. Mather LE. Tachyphylaxis in regional anesthesia: Can we reconcile clinical observations and laboratory measurements? Anaesthesiol Intens Care Med 1986; 176: 3-9.
6. Scott DA, Chamley DM, Mooney PH, et al. Epidural ropivacaine infusion for postoperative analgesia after major lower abdominal surgery - A dose finding study. Anesth Analg 1995; 81: 982-6.
7. Muldoon T, McConaghy P, Binning AR, et al. Continuous epidural infusion of ropivacaine for the prevention of postoperative pain after major orthopaedic surgery: A dose-finding study. Acute Pain 1998; 1: 13-9.
8. Capogna G, Celleno D, Fusco P, Lyons G, Columb M. Relative potencies of bupivacaine and ropivacaine for analgesia in labour. Br J Anaesth 1999; 82: 371-3.
9. Polley LS, Columb MO, Naughton NN, Wagner DS, van de Ven CJM. Relative analgesic potencies of ropivacaine and bupivacaine for epidural analgesia in labor. Anesthesiology 1999; 90: 944-50.
10. Cohen EN, Levine DA, Coliss JE, Gunther RE. The role of pH in the development of tachyphylaxis to local anesthetic agents. Anesthesiology 1968; 29: 994-1001.
11. Rosenberg PH, Kytta J, Alila A. Absorption of bupivacaine, etidocaine, lignocaine and ropivacaine into N-heptane, rat sciatic nerve, and human extradural and subcutaneous fat. Br J Anaesth 1986; 58: 310-4.
12. Tucker GT, Mather LE. Pharmacokinetics of local anaesthetic agents. Br J Anaesth 1975; 47: 213-24.
13. Nakamura K, Toda H, Kakuyama M, et al. Direct vascular effect of ropivacaine in femoral artery and vein of the dog. Acta Anaesthesiol Scand 1993; 37: 269-73.
14. Wolff CH. Evidence for a central component of postinjury pain hypersensitivity. Nature 1983; 306: 686-8.
15. + channels in rat dorsal root ganglion neurons. Anesth Analg 2000; 91: 1213-20.
16. Hjortsø N-C, Lund C, Mogensen T, Bigler D, Kehlet H. Epidural morphine improves pain relief and maintains sensory analgesia during continuous epidural bupivacaine after abdominal surgery. Anesth Analg 1986; 65: 1033-6.
17. Lund C, Mogensen T, Hjortsø N-C, Kehlet H. Systemic morphine enhances spread of sensory analgesia during postoperative epidural bupivacaine infusion. Lancet 1985; 23: 1156-7.
18. Saito Y, Uchida H, Kaneko M, Nakatani T, Kosaka Y. Comparison of continuous epidural infusion of morphine/bupivacaine with fentanyl/ bupivacaine for postoperative pain relief. Acta Anaesthesiol Scand 1994; 38: 398-401.
19. White MJ, Berghausen EJ, Dumont SW, et al. Side effects during continuous epidural infusion of morphine and fentanyl. Can J Anaesth 1992; 39: 576-82.
20. Fischer RL, Lubenow TR, Liceaga A, McCarthy RJ, Ivankovich AD. Comparison of continuous epidural infusion of fentanyl-bupivacaine and morphine-bupivacaine in management of postoperative pain. Anesth Analg 1988; 67: 559-63.
21. Vallejo MC, Edwards RP, Shannon KT, et al. Improved bowel function after gynecological surgery with epidural bupivacaine-fentanyl than bupivacaine-morphine infusion. Can J Anaesth 2000; 47: 406-11.
22. Ferrante FM, Fanciullo GJ, Grichnik KP, et al. Regression of sensory anesthesia during continuous epidural infusions of bupivacaine and opioid for total knee replacement. Anesth Analg 1993; 77: 1179-84.