Authors: Katsushi Doi Manami Yamanaka Atsuko Shono Noriko Fukuda Yoji Saito
Publish Date: 2007/08/01
Volume: 21, Issue: 3, Pages: 439-441
Abstract
Forty patients American Society of Anesthesiology ASA physical status 1–2 undergoing subtotal gastrectomy were enrolled in this study The patients were allocated to two groups with or group P and without group C preoperative epidural fentanyl 100 µg Postoperatively all patients received continuous infusion of the study solution containing fentanyl 30 µg·ml−1 and 2 mg/ml bupivacaine at a rate of 07 ml·h−1 for 72 h The scores on the Prince Henry Hospital selfassessed pain scale PHPS were recorded at 0 4 12 24 48 and 72 h after the surgery We compared the total rescue doses of analgesics during each period of 24 h until 72 h postoperatively Although the total rescue doses of analgesics were not different between the groups the median PHPS score was lower in group P than in group C except at 0 h after the surgery Preoperative epidural fentanyl 100 µg may increase the analgesic potency of postoperative epidural lowdose infusion of bupivacaine with fentanyl
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