EPIDURAL INFUSION OF BUPIVACAINE AND DIAMORPHINE FOR POSTOPERATIVE ANALGESIA - USE ON GENERAL SURGICAL WARDS

被引:20
|
作者
HOBBS, GJ
ROBERTS, FL
机构
[1] Department of Anaesthesia, Royal Devon and Exeter Hospital (Wonford), Exeter, Devon, EX2 5DW, Barrack Road
[2] Department of Anaesthesia, Royal Devon and Exeter Hospital (Wonford), Exeter, Devon, EX2 5DW, Barrack Road
关键词
PAIN; POSTOPERATIVE; ANALGESICS; DIAMORPHINE; ANESTHETIC TECHNIQUES; REGIONAL; EPIDURAL;
D O I
10.1111/j.1365-2044.1992.tb01958.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
An audit of postoperative epidural analgesia in a District General Hospital is presented. Three hundred and forty‐eight patients received epidural infusions of a bupivacaine and diamorphine mixture, and were managed on general surgical wards using a standard protocol of observations and instructions. Good analgesia was achieved in 339 (97%) patients. Respiratory depression, defined as a respiratory rate of eight breaths.min−1 or less, occurred in 22 (6%) patients, was of gradual onset, and was simply and successfully managed without morbidity. There were no respiratory arrests. Other complications, and the significance of catheter insertion level are discussed. Copyright © 1992, Wiley Blackwell. All rights reserved
引用
收藏
页码:58 / 62
页数:5
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