Is continuous infiltration of local anaesthetic/PCA an acceptable alternate pain management strategy in morbidly obese patients undergoing gastric bypass surgery? A retrospective comparison with epidural analgesia

Sri Lankan Journal of Anaesthesiology

Volumn 18, Issue 2, 2010, Pages 66-71

  Pathiraja, Chaminda ^a   Silva, Nilan ^a   Sharpe, Graham ^a   Woojner, Jacek ^a   Stubbs, Richard ^a  

^a Wakefield Heart Centre   (New Zealand)

Author keywords

Continuous local infiltration; Epidural analgesia; Gastric surgery; Morbidly

Indexed keywords

CEFAZOLIN; CIPROFLOXACIN; DESFLURANE; FENTANYL; MORPHINE; PARACETAMOL; PARECOXIB; PROPOFOL; ROCURONIUM; TRAMADOL; VECURONIUM;

ADULT; AGED; ANALGESIA; ANESTHESIA INDUCTION; ARTICLE; BODY MASS; CONTINUOUS EPIDURAL ANESTHESIA; CONTROLLED STUDY; DRUG EFFICACY; FEMALE; HUMAN; HYPOTENSION; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; NAUSEA AND VOMITING; OBESITY; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PROPHYLAXIS; PRURITUS; RETROSPECTIVE STUDY; SINGLE DRUG DOSE; STOMACH BYPASS; THORAX EPIDURAL ANESTHESIA; URINE RETENTION; VISUAL ANALOG SCALE; WOUND INFECTION;

EID: 78649774898     PISSN: 13918834     EISSN: None     Source Type: Journal    
DOI: 10.4038/slja.v18i2.2440     Document Type: Article

References (16)

1. Kehlet, H. and K. Holte (2001). "Effect of postoperative analgesia on surgical outcome." Br J Anaesth 87(1): 62-72.
2. Grau, T., E. Bartusseck, et al. (2003). "Ultrasound imaging improves learning curves in obstetric epidural anesthesia: a preliminary study." Can J Anaesth 50(10): 1047-50.
3. Jayr, C., A. Mollie, et al. (1988). "Postoperative pulmonary complications: general anesthesia with postoperative parenteral morphine compared with epidural analgesia." Surgery 104(1): 57-63
4. Hodgkinson, R. and F. J. Husain (1980). "Caesarean section associated with gross obesity." Br J Anaesth 52(9): 919-23.
5. Rathmell, J. P., T. R. Lair, et al. (2005). "The role of intrathecal drugs in the treatment of acute pain." Anesth Analg 101(5 Suppl): S30-43.
6. Koukis, I., M. Argiriou, et al. (2008). "Use of continuous subcutaneous anesthetic infusion in cardiac surgical patients after median sternotomy." J Cardiothorac Surg 3: 2.
7. Wheatley, G. H., 3rd, D. H. Rosenbaum, et al. (2005). "Improved pain management outcomes with continuous infusion of a local anesthetic after thoracotomy." J Thorac Cardiovasc Surg 130(2): 464-8.
8. Hood, D. D. and D. M. Dewan (1993). "Anesthetic and obstetric outcome in morbidly obese parturients." Anesthesiology 79(6): 1210-8.
9. Charghi, R., S. Backman, et al. (2003). "Patient controlled i.v. analgesia is an acceptable pain management strategy in morbidly obese patients undergoing gastric bypass surgery. A retrospective comparison with epidural analgesia." Can J Anaesth 50(7): 672-8.
10. Senard, M., J. L. Joris, et al. (2002). "A comparison of 0.1% and 0.2% ropivacaine and bupivacaine combined with morphine for postoperative patientcontrolled epidural analgesia after major abdominal surgery." Anesth Analg 95(2): 444-9, table of contents.
11. Buggy, D. J., W. L. Doherty, et al. (2002). "Postoperative wound oxygen tension with epidural or intravenous analgesia: a prospective, randomized, single-blind clinical trial." Anesthesiology 97(4): 952-8.
12. Rawal, N., U. Sjostrand, et al. (1984). "Comparison of intramuscular and epidural morphine for postoperative analgesia in the grossly obese: influence on postoperative ambulation and pulmonary function." Anesth Analg 63(6): 583-92.
13. Besson, J. M. (1999). "The neurobiology of pain." Lancet 353(9164): 1610-5.
14. Cheong, W. K., F. Seow-Choen, et al. (2001). "Randomized clinical trial of local bupivacaine perfusion versus parenteral morphine infusion for pain relief after laparotomy." Br J Surg 88(3): 357-9.
15. Kopka, A., E. Wallace, et al. (2007). "Observational study of perioperative PtcCO2 and SpO2 in non-ventilated patients receiving epidural infusion or patient-controlled analgesia using a single earlobe monitor (TOSCA)." Br J Anaesth 99(4): 567-71
16. Smetana, G. W., V. A. Lawrence, et al. (2006). "Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians." Ann Intern Med 144(8): 581-95.