Postoperative patient \ufffd?controlled epidural analgesia with bupivacaine \ufffd?fentanyl after gastrectomy
- Author:
Quy Van Nguyen
;
Tu Huu Nguyen
- Publication Type:Journal Article
- Keywords:
Gastric cancer;
bupivacaine \ufffd?fentanyl
- MeSH:
Stomach Neoplasms/ surgery;
Bupivacaine;
Fentanyl;
Pain;
Postoperative/ prevention & control;
- From:Journal of Medical Research
2007;47(1):49-54
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Background: Gastric cancer surgery is major surgery and often encountered in surgical. Objectives: To assess the efficacy and the side effect of postoperative patient \ufffd?controlled epidural analgesia (PCEA) with bupivacaine \ufffd?fentanyl after gastrectomy. Subjects and method:A prospective trial was conducted on 30 patients with gastrectomy because of cancer. Epidural catheter was inserted at level of D7-D9. Postoperative pain relief using PCEA with bupivacaine 0,125% - fentanyl 2\u03bcg/ml: 2ml bolus every 10 min, with basal infusion 2ml/h. VAS during normal tidal ventilation and following cough, the side effects were monitored during 48 hour period. Results: VAS decreased from 6,4 \xb1 1,4 to 2,6 \xb1 0,7, p<0,01 after 15 min. 90% patients had VAS under 2,5 after 1 hour and 100% reached VAS under 2,5 after 8 hours during normal tidal ventilation and following cough as well. Incidence of urinary retention, nausea and pruritus were 13,3; 3,3; and 3,3% respectively. Conclusion: PCEA provided a effective pain control after gastrectomy during normal tidal ventilation and following cough. The side effects remained unusual and minor.
