Epidural analgesia

M. J. Kilbride, A. J. Senagore, W. P. Mazier, C. Ferguson, T. Ufkes

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

The most frequently used postoperative analgesia techniques are intramuscular injection (IM) and patient controlled analgesia (PCA). Recently, the use of epidural catheter injection (EPI) has been done with success. This study was done to prospectively compare these three techniques for postoperative analgesia after extensive operations upon the colon and rectum. Patients were randomized to one of three analgesia groups-IM, intramuscular morphine sulfate; PCA, patient controlled morphine sulfate, and EPI, epidural morphine sulfate. Data collected included age, time to first bowel movement, amount of narcotic, number achieving 75 per cent of preoperative forced vital capacity, postoperative pruritus, headache, nausea and vomiting, respiratory depression, atelectasis or pneumonitis. A visual analog pain scale was used to evaluate postoperative pain severity (0, no; 1, partial; 2, marked, and 3, total relief). Sixty-eight patients were eligible for study (IM, 19; PCA, 22; EPI, 23, and excluded, four). The EPI group required significantly less daily narcotic compared with either the IM or PCA groups (17.0±6.12 milligrams; 67.8±26.8 milligrams; 40.5±20.6 milligrams, respectively,

Original languageEnglish (US)
Pages (from-to)137-140
Number of pages4
JournalSurgery Gynecology and Obstetrics
Volume174
Issue number2
StatePublished - 1992
Externally publishedYes

Fingerprint

Epidural Injections
Patient-Controlled Analgesia
Epidural Analgesia
Intramuscular Injections
Catheters
Analgesia
Morphine
Narcotics
Pulmonary Atelectasis
Vital Capacity
Pain Measurement
Pruritus
Postoperative Pain
Rectum
Respiratory Insufficiency
Nausea
Vomiting
Headache
Pneumonia
Colon

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Surgery

Cite this

Kilbride, M. J., Senagore, A. J., Mazier, W. P., Ferguson, C., & Ufkes, T. (1992). Epidural analgesia. Surgery Gynecology and Obstetrics, 174(2), 137-140.

Epidural analgesia. / Kilbride, M. J.; Senagore, A. J.; Mazier, W. P.; Ferguson, C.; Ufkes, T.

In: Surgery Gynecology and Obstetrics, Vol. 174, No. 2, 1992, p. 137-140.

Research output: Contribution to journalArticle

Kilbride, MJ, Senagore, AJ, Mazier, WP, Ferguson, C & Ufkes, T 1992, 'Epidural analgesia', Surgery Gynecology and Obstetrics, vol. 174, no. 2, pp. 137-140.
Kilbride MJ, Senagore AJ, Mazier WP, Ferguson C, Ufkes T. Epidural analgesia. Surgery Gynecology and Obstetrics. 1992;174(2):137-140.
Kilbride, M. J. ; Senagore, A. J. ; Mazier, W. P. ; Ferguson, C. ; Ufkes, T. / Epidural analgesia. In: Surgery Gynecology and Obstetrics. 1992 ; Vol. 174, No. 2. pp. 137-140.
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