Epidural analgesia

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

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36 Scopus citations

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

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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.