Patient-controlled epidural analgesia with ropivacaine and fentanyl: Experience with 2,276 surgical patients

Korean Journal of Pain

Volumn 26, Issue 1, 2013, Pages 39-45

  Kim, Shin Hyung ^a   Yoon, Kyung Bong ^a   Yoon, Duck Mi ^a   Kim, Chan Mi ^a   Shin, Yang Sik ^a  

^a Yonsei University College of Medicine   (South Korea)

Author keywords

Efficacy; Epidural analgesia; Patient controlled analgesia; Postoperative pain; Safety

Indexed keywords

FENTANYL; ROPIVACAINE;

ADULT; ARTICLE; CLINICAL ASSESSMENT; CLINICAL EVALUATION; DISEASE ASSOCIATION; DISEASE CONTROL; DIZZINESS; DRUG EFFECT; DRUG EFFICACY; DRUG SAFETY; DRUG WITHDRAWAL; EPIDURAL ANESTHESIA; FEMALE; HEADACHE; HUMAN; HYPOTENSION; MAJOR CLINICAL STUDY; MALE; MEDICAL AUDIT; MOTOR DYSFUNCTION; NAUSEA; OBSERVATIONAL STUDY; PAIN ASSESSMENT; PARESTHESIA; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE CARE; POSTOPERATIVE PAIN; PRURITUS; RETROSPECTIVE STUDY; SEDATION; SIDE EFFECT; SURGICAL PATIENT; TREATMENT DURATION; URINE RETENTION; VOMITING; WEAKNESS;

EID: 84873552750     PISSN: 20059159     EISSN: 20930569     Source Type: Journal    
DOI: 10.3344/kjp.2013.26.1.39     Document Type: Article

References (19)

1. Kehlet H, Holte K. Effect of postoperative analgesia on surgical outcome. Br J Anaesth 2001; 87: 62-72.
2. Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg 2003; 97: 534-40.
3. Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA Jr, Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA 2003; 290: 2455-63.
4. Liu S, Carpenter RL, Neal JM. Epidural anesthesia and analgesia. Their role in postoperative outcome. Anesthesiology 1995; 82: 1474-506.
5. Kim DH. Effective continuous infusion and bolus doses for patient-controlled epidural analgesia using ropivacaine. J Korean Pain Soc 2002; 15: 75-9.
6. Pöpping DM, Zahn PK, Van Aken HK, Dasch B, Boche R, Pogatzki-Zahn EM. Effectiveness and safety of postoperative pain management: a survey of 18 925 consecutive patients between 1998 and 2006 (2nd revision): a database analysis of prospectively raised data. Br J Anaesth 2008; 101: 832-40.
7. Chen PP, Chui PT, Ma M, Gin T. A prospective survey of patients after cessation of patient-controlled analgesia. Anesth Analg 2001; 92: 224-7.
8. Liu SS, Allen HW, Olsson GL. Patient-controlled epidural analgesia with bupivacaine and fentanyl on hospital wards: prospective experience with 1,030 surgical patients. Anesthesiology 1998; 88: 688-95.
9. Scott DA, Beilby DS, McClymont C. Postoperative analgesia using epidural infusions of fentanyl with bupivacaine. A prospective analysis of 1,014 patients. Anesthesiology 1995; 83: 727-37.
10. de Leon-Casasola OA, Parker B, Lema MJ, Harrison P, Massey J. Postoperative epidural bupivacaine-morphine therapy. Experience with 4,227 surgical cancer patients. Anesthesiology 1994; 81: 368-75.
11. Cha YD, Song JH, Song JH, Kim TJ, Lee HS, Lee CS, et al. Is initial loading dose necessary for continuous epidural analgesia after brief surgery? J Korean Pain Soc 2000; 13: 44-8.
12. Brennum J, Arendt-Nielsen L, Secher NH, Jensen TS, Bjerring P. Quantitative sensory examination in human epidural anaesthesia and analgesia: effects of lidocaine. Pain 1992; 51: 27-34.
13. Liu SS, Moore JM, Luo AM, Trautman WJ, Carpenter RL. Comparison of three solutions of ropivacaine/fentanyl for postoperative patient-controlled epidural analgesia. Anesthesiology 1999; 90: 727-33.
14. Moon DE, Shim JY, Lim YG, Kim YS, Kim BC, Kim SN. Neurologic complications following epidural analgesia. J Korean Pain Soc 1997; 10: 291-5.
15. Talu GK, Erdine S. Complications of epidural neuroplasty: a retrospective evaluation. Neuromodulation 2003; 6: 237-47.
16. Visser WA, Lee RA, Gielen MJ. Factors affecting the distribution of neural blockade by local anesthetics in epidural anesthesia and a comparison of lumbar versus thoracic epidural anesthesia. Anesth Analg 2008; 107: 708-21.
17. Burstal R, Wegener F, Hayes C, Lantry G. Epidural analgesia: prospective audit of 1062 patients. Anaesth Intensive Care 1998; 26: 165-72.
18. Wigfull J, Welchew E. Survey of 1057 patients receiving postoperative patient-controlled epidural analgesia. Anaesthesia 2001; 56: 70-5.
19. Macintyre PE. Safety and efficacy of patient-controlled analgesia. Br J Anaesth 2001; 87: 36-46.