Disposable infusion pumps make wide application of postpartum epidural analgesia real (5 year experience)
- Authors: Gorobets E.S.1, Garjaev R.V.1, Sheen A.R.1
-
Affiliations:
- The Russian oncological scientific center of a name of Blohin N. N. of Russian Academy of Medical Sciences
- Issue: Vol 5, No 3 (2011)
- Pages: 14-20
- Section: Articles
- URL: https://journals.rcsi.science/1993-6508/article/view/36104
- DOI: https://doi.org/10.17816/ра.v5i3.36104
- ID: 36104
Cite item
Full Text
Abstract
Results of 247 observations of postoperative epidural analgesia in oncoproctology and liver and pancreas oncosurgery departments are presented. All patients received continuous thoracic epidural ropivacaine 2 mg/ml, fentanyl 2 μg/ml and adrenalin 2 μg/ml from the beginning of the operation and during 3-4 days postoperative period. Results of the investigation showed that continuous three-component thoracic epidural analgesia provides effective pain relief after major traumatic operations. In addition, this method promotes early activation of intestinal peristalsis
Full Text
##article.viewOnOriginalSite##About the authors
E. S. Gorobets
The Russian oncological scientific center of a name of Blohin N. N. of Russian Academy of Medical Sciences
R. V. Garjaev
The Russian oncological scientific center of a name of Blohin N. N. of Russian Academy of Medical Sciences
A. R. Sheen
The Russian oncological scientific center of a name of Blohin N. N. of Russian Academy of Medical Sciences
References
- Горобец Е. С., Гаряев Р. В. Одноразовые инфузионные помпы - перспектива широкого внедрения продленной регионарной анальгезии (обзор проблемы) // Регионарная анестезия и лечение острой боли. 2007. Т. 1, № 4. С. 46-53.
- Ilfeld B. М., Morey T. E., Enneking F. K. The Delivery Rate Accuracy of Portable Infusion Pumps Used for Continuous Regional Analgesia // Anesth. Analg. 2002; 95: 1331-1336.
- Niemi G., Breivik H. Epinephrine markedly improves thoracic epidural analgesia produced by a small-dose infusion of ropi-vacaine, fentanyl, and epinephrine after major thoracic or abdominal surgery: a randomized double-blinded crossover study with and without epinephrine // Anesth. Analg. 2002; 94: 1598-1605.
- Niemi G., Breivik H. Minimally effective concentration of epinephrine in a low-concentration thoracic epidural analgesic infusion of bupivacaine, fentanyl and epinephrine after major surgery // Acta Anesthesiol. Scand. 2003; 47: 1-12.
- Калви Т. Н., Уильямс Н. Е. Фармакология для анестезиолога / пер. с англ. М.: Издательство БИНОМ, 2007. С. 123.
- Curatolo M. Is Epinephrine Unfairly Neglected for Postoperative Epidural Mixtures? // Anesth. Analg. 2002; 94: 1381-1383.
- Kehlet H., Dahl J. B. The value of «multimodal» or «balanced analgesia» in postoperative pain treatment // Anesth. Analg. 1993 Nov; 77(5): 1048-1056.