Comparison between combination of marcaine and fentanyl with marcaine alone during epidural block for lumbar discectomy
- Author:
Tuan Ngoc Tran
- Publication Type:Journal Article
- Keywords:
epidural anesthesia
- MeSH:
Bupivacaine;
Fentanyl;
Analgesia, Epidural
- From:Journal of Practical Medicine
2002;435(11):32-35
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
A prospective study involved 64 patients (43 men, 21 women) aged from 20 to 62 years with lumbar disc herniation who had operated at Military Hospital 103. These patients were divided into 2 groups. Group 1 received marcaine (0.25%-0.375%) plus fentanyl, group 2 received marcaine (0.35% - 0.5%) alone for lumbar epidural anesthesia. The volume of local anesthetic solutions injected epidurally was calculated based on number of segments that had to block, with dose of 1.5 - 1.6 ml per segment. The results showed that compare with marcaine alone, the combination of marcaine and fentanyl provided better analgesic effect, faster onset and longer duration of action, caused milder hemodynamic changes, decreased the incidence of adverse effects and produced satisfactory post-operative condition
