The Effect of Analgesic Technique on Recovery of Patients after Colon Surgery.
10.4097/kjae.1998.34.2.383
- Author:
Kyou Chul HAN
1
;
Soo Chang SON
Author Information
1. Department of Anesthesiology, College of Medicine, Chungnam University, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Analgesia: pain;
patient-controlled;
postoperative;
Analgesics: epidural;
morphine;
Anesthetics, local: bupivacaine
- MeSH:
Analgesia;
Analgesia, Epidural;
Analgesics;
Anesthesia, General;
Bupivacaine;
Colon*;
Hospitalization;
Humans;
Morphine;
Passive Cutaneous Anaphylaxis;
Walking
- From:Korean Journal of Anesthesiology
1998;34(2):383-388
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Different types of analgesia may affect the rate of recovery of gastrointestinal function after colon surgery. METHODS: Sixty-six patients undergoing colon surgery which including right and left hemicolectomy, anterior resection and Miles` operation were categorized into four groups. All groups received a general anesthesia. Control group, in surgical ward the patients received adjuvant analgesics on request postoperatively. Group M received a intraoperative bolus epidural morphine followed by an infusion of morphine. Group MB received a intraoperative bolus of epidural morphine followed by an infusion of bupivacaine and morphine. Group PCA received a intraoperative bolus of intravenous morphine followed by patient- controlled morphine postoperatively. RESULTS: Ambulation, oral feeding and duration of hospitalization were not differed among groups. Group MB, recovered gastrointestinal function approximately 30 hours earlier than Group PCA (p<0.05). CONCLUSION: Epidural analgesia with bupivacaine and morphine accelerated postoperative recovery of gastrointestinal function.
