Beneficial effects of single dose multimodal epidural analgesia on relief of postoperative microdiscectomy pain;Multimodal epidural analjezinin lomber diskektomi sonrasi aǧrida etkinliǧi

Agri

Volumn 16, Issue 4, 2004, Pages 54-58

  Kararmaz, Alper ^a   Kaya, Sedat ^a   Karaman, Haktan ^a   Turhanoǧlu, Selim ^a   Özyilmaz, Ali ^a  

^a DICLE UNIVERSITY SCHOOL OF MEDICINE   (Turkey)

Author keywords

Discectomy; Epidural analgesia; Multimodal analgesia; Postoperative analgesia

Indexed keywords

ADRENALIN; BUPIVACAINE; GRANISETRON; METHYLPREDNISOLONE; MORPHINE;

CLINICAL ARTICLE; CLINICAL TRIAL; CONFERENCE PAPER; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; DRUG EFFICACY; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; EPIDURAL SPACE; HUMAN; INTERVERTEBRAL DISKECTOMY; LUMBAR DISK; MOBILIZATION; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE PAIN; RANDOMIZED CONTROLLED TRIAL; SINGLE DRUG DOSE; VISUAL ANALOG SCALE; WOUND CLOSURE;

ADULT; ANALGESIA, EPIDURAL; ANALGESICS, OPIOID; ANESTHETICS, LOCAL; BUPIVACAINE; DISKECTOMY; DOUBLE-BLIND METHOD; DRUG THERAPY, COMBINATION; EPINEPHRINE; FEMALE; HUMANS; LUMBAR VERTEBRAE; MALE; METHYLPREDNISOLONE; MIDDLE AGED; MORPHINE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 8844224072     PISSN: 13000012     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Conference Paper

References (17)

1. Alagöl A., Çolak A., Pamukçu Z., Turan F. N.: Omurga cerrahisinde iv nimodipin ve oral nifedipinin postoperatif epidural morfin analjezisi üzerine etkileri. Türk Anest Rean Cem Mecmuasi 2002; 30: 468-472.
2. Baron C. M., Kowalski S. E., Greengrass R., Horan T. A., Unruh H. W., Baron C. L.: Epinephrine decreases postoperative requirements for continuous thoracic epidural fentanyl infusions. Anesth Analg 1996; 82: 760-765.
3. Bromage P. R., Camporesi E. M., Durant P. A., Nielsen C. H.: Influence of epinephrine as an adjuvant to epidural morphine. Anesthesiology 1983; 58: 257-262.
4. Chia Y. Y., Liu K., Liu Y. C., Chang H. C., Wong C. S.: Adding ketamine in a multimodal patient-controlled epidural regimen reduces postoperative pain and analgesic consumption. Anesth Analg 1998; 86: 1245-1249.
5. Cousins M. J., Mather L. E.: Intrathecal and epidural administration of opioids. Anesthesiology 1984; 61: 276-310.
6. Gibbons K. J., Barth A. P., Ahuja A., Budny J. L., Hopkins L. N.: Lumbar discectomy: use of an epidural morphine sponge for postoperative pain control. Neurosurgery 1995; 36: 1131-1135.
7. Glasser R. S., Knego R. S., Delashaw J. B., Fessler R. G.: The perioperative use of corticosteroids and bupivacaine in the management of lumbar disc disease. J Neurosurg 1993; 78: 383-387.
8. Hurlbert R. J., Theodore N., Drabier J. B., Magwood A. M., Sonntag V. K.: A prospective randomized double-blind controlled trial to evaluate the efficacy of an analgesic epidural paste following lumbar decompressive surgery. J Neurosurg 1999; 90: 191-197.
9. Joshi G. P., McCarroll S. M, O'Rourke K.: Postoperative analgesia after lumbar laminectomy: epidural fentanyl infusion versus patient-controlled intravenous morphine. Anesth Analg 1995; 80: 511-514.
10. Kehlet H., Dahl J. B.: The value of multimodal or balanced analgesia in postoperative pain treatment. Anesth Analg 1993; 77: 1048-1056.
11. Kleinman W.: Spinal, epidural and caudal blocks. In: Morgan G. E., Mikhail M. S., Murray M. J., Larson C. P. Jr., editors. Clinical Anesthesiology 3th edition. New York: McGraw-Hill, 2002. pp. 262-266.
12. Kundra P., Gurnani A., Bhattacharya A.: Preemptive epidural morphine for postoperative pain relief after lumbar laminectomy. Anesth Analg 1997; 85: 135-138.
13. Lavyne M. H., Bilsky M. H.: Epidural steroids, postoperative morbidity, and recovery in patients undergoing microsurgical lumbar discectomy. J Neurosurg 1992; 77: 90-95.
14. Mack P. F., Mass D., Lavyne M. H., Snow R. B., Lien C. A.: Postoperative narcotic requirement after microscopic lumbar discectomy is not affected by intraoperative ketorolac or bupivacaine. Spine 2001; 26: 658-661.
15. Memis D., Muhittin M., Alagöl A., Pamukçu Z.: Vertebra cerrahisinde epidural klonidin+bupivakain ve tramadol+bupivakain kombinasyonunun postoperatif analjezi ve hemodinami üzerine etkisi. Turk Anest Rean Cem Mecmuasi 2000; 28: 88-92.
16. Newman M. H.: Outpatient conventional laminotomy and disc excision. Spine 1995; 20: 353-355.
17. Önal S. A.: Epidural anestezi. Türk Anest Rean Cem Mecmuasi 2000; 28: 110-117.