Epidural opiate analgesia for acute pain relief.

نویسنده

  • A N Sandler
چکیده

The use of spinal analgesia has been associated with an explosion of publications and the appearance of several comprehensive review articles.t-4 Epidural opioid analgesia has been the most popular technique for a variety of conditions due to the ease with which prolonged analgesia can be obtained by either an infusion or repeated bolus injectioas and the decreased incidence of complications after epidural rather than intrathecal use. 3 This review will deal with the use and application of epidural opioids for acute pain relief.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Epidural opiates and degenerative back pain.

THE relief of acute pain by epidural and intrathecal opiates has been widely explored in the past few years. The existence of spinal opioid or endorphin receptor sites explains the excellent analgesia which can be achieved by these routes. It is interesting that endorphin levels in the cerebrospinal fluid have been shown to be markedly lower than normal in both acute and chronic pain.' Most stu...

متن کامل

Safety and efficacy of postoperative epidural analgesia.

Effective analgesia for postoperative pain relief after major surgery has been a practical proposition with epidural administration of local anaesthetic (LA) and opioid drugs since the early 1980s. Although epidural administration is perceived by 80% of UK anaesthetists as the ideal analgesic technique for upper abdominal surgery, there are many patients undergoing major surgery who do not rece...

متن کامل

CLINICAL PRACTICE Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life

Methods. Sixty patients undergoing thoracic or thoraco-abdominal surgery were studied prospectively. Patients were randomly assigned to receive either thoracic epidural analgesia or patient-controlled i.v. opiate analgesia (PCA) after operation. Visual analogue pain and sedation scores were recorded for the period of the study. QOL health surveys at 24 h (SF-8 acute form) and at 1 week (SF-36) ...

متن کامل

Care of the patient receiving epidural analgesia.

Epidural analgesia is a common technique used to manage acute pain after major surgery and is viewed as the 'gold standard'. When managed effectively, epidural analgesia is known to reduce the risk of adverse outcomes following major surgery. There are two main classes of medications used in epidural analgesia: opioids and local anaesthetics. Both of these drugs are beneficial in reducing or el...

متن کامل

Comparison of Epidural versus Entonox for Labor Analgesia in Nulliparous Women

 Introduction: The aim of this study is to compare the efficacy of epidural versus entonox methods for labor analgesia in nulliparous women.  Methods: This randomized controlled trial was performed on 84 nulliparous women with - pregnancy admitted to Imam Reza Hospital in 10 May 2010- 10 May 2011.  They were randomly divided into two groups 42 women inhaled entonox in active phase at the ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Canadian journal of anaesthesia = Journal canadien d'anesthesie

دوره 37 4 Pt 2  شماره 

صفحات  -

تاریخ انتشار 1990