COMPARISON OF CONTINUOUS AND INTERMITTENT ADMINISTRATION OF EXTRADURAL BUPIVACAINE FOR ANALGESIA AFTER LOWER ABDOMINAL-SURGERY

Citation
La. Duncan et al., COMPARISON OF CONTINUOUS AND INTERMITTENT ADMINISTRATION OF EXTRADURAL BUPIVACAINE FOR ANALGESIA AFTER LOWER ABDOMINAL-SURGERY, British Journal of Anaesthesia, 80(1), 1998, pp. 7-10
Citations number
13
Categorie Soggetti
Anesthesiology
ISSN journal
00070912
Volume
80
Issue
1
Year of publication
1998
Pages
7 - 10
Database
ISI
SICI code
0007-0912(1998)80:1<7:COCAIA>2.0.ZU;2-M
Abstract
We have compared intermittent bolus and continuous infusion of extradu ral local anaesthetic for pain relief in a randomized, double-blind st udy of 48 patients who underwent major abdominal gynaecological surger y. Each patient received 5 mi of 0.375% bupivacaine hourly, either as a bolus over 5 min or as a constant infusion. Patients who received th e intermittent administration technique maintained a more extensive se nsory block, reported marginally better analgesia and had a lower requ irement for rescue medication. The intermittent bolus technique was no t associated with an increase in side effects.