Continuous regional analgesia in comparison with intravenous opioid administration for routine postoperative pain control.

Abstract:

:This study compares retrospectively the postoperative analgesia provided via intravenous opioids with continuous regional techniques (interpleural and epidural infusions) administered as a clinical routine by an anaesthesia-based Acute Pain Service. In 2630 patients no severe complications resulting in morbidity or mortality occurred; the rate of potentially serious complications was in the 0.5% range and comparable between the techniques. A detailed analysis of a randomised subsample of 340 patients revealed better analgesia at rest and better compliance with physiotherapy under continuous regional analgesia. Techniques of continuous regional analgesia also resulted in fewer incidents of desaturation and fewer side effects. Patient satisfaction with these techniques was higher than with intravenous opioid administration. In conclusion, continuous regional analgesia in a routine clinical setting is comparable to intravenous opioid administration with regard to safety, but results in significantly better analgesia with fewer side effects.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Schug SA,Fry RA

doi

10.1111/j.1365-2044.1994.tb03528.x

subject

Has Abstract

pub_date

1994-06-01 00:00:00

pages

528-32

issue

6

eissn

0003-2409

issn

1365-2044

journal_volume

49

pub_type

杂志文章
  • Peripheral oxygen extraction in patients with malignant obstructive jaundice.

    abstract::Malignant obstructive jaundice is associated with poor aerobic capacity. We measured oxygen consumption and oxygen extraction (arterial-venous oxygen content) in the legs of nine patients during cardiopulmonary exercise testing before pancreaticoduodenectomy. The median (IQR [range]) peak oxygen consumption was 67 (49...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12478

    authors: Junejo MA,Siriwardena AK,Parker MJ

    更新日期:2014-01-01 00:00:00

  • The effect of pre-induction glycopyrronium on the haemodynamic response of elderly patients to anaesthesia with propofol.

    abstract::This study investigated whether pretreatment with glycopyrronium can attenuate the hypotension caused by anaesthesia of the elderly with propofol. Twenty elderly patients (77.1 +/- 2.44 years, mean +/- SEM) of ASA physical status 2 or 3 scheduled for elective urological procedures were given glycopyrronium 0 (n = 10) ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1992.tb02341.x

    authors: Sneyd JR,Mayall R

    更新日期:1992-07-01 00:00:00

  • Plasma morphine levels produced by continuous infusion in children.

    abstract::Blood samples were taken from six children aged between 10 months and 15 years, at intervals over a period of 40 hours while they were receiving continuous morphine infusions. The plasma morphine values obtained showed similar and consistent levels 15-30 minutes after starting the infusions. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12847.x

    authors: Bray RJ,Beeton C,Hinton W,Seviour JA

    更新日期:1986-07-01 00:00:00

  • Electro-acupuncture and postoperative emesis.

    abstract::One hundred unpremedicated female patients of ASA grade 1 or 2 who underwent laparoscopy as outpatients were allocated randomly to one of four groups. All patients received general anaesthesia with fentanyl, thiopentone, halothane, nitrous oxide and oxygen; suxamethonium was given to facilitate tracheal intubation. In...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1990.tb14744.x

    authors: Ho RT,Jawan B,Fung ST,Cheung HK,Lee JH

    更新日期:1990-04-01 00:00:00

  • The immediate care of acute renal failure.

    abstract::This article does not attempt to answer all the questions which might arise with the immediate management of a patient with acute renal failure but an effort has been made to lay down some guidelines and discuss some of the points of controversy. It should be remembered that the management of acute renal failure is an...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1977.tb11610.x

    authors: Rainford DJ

    更新日期:1977-03-01 00:00:00

  • SHO training in anaesthetics. How good is it?

    abstract::All senior house officer posts in the Yorkshire Deanery have been assessed against five parameters. Posts in anaesthesia were among the best with excellent consultant support, good exposure to clinical practice and well-structured education and training. Anaesthetic posts were almost unique in satisfying the 'New Deal...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1998.00245.x

    authors: Bunch GA,Bahrami J,Macdonald R

    更新日期:1998-01-01 00:00:00

  • Target ranges and the apparent compliance with tight glycaemic control.

    abstract::We performed a retrospective audit of blood glucose control after introducing a new protocol for insulin infusion. The audit showed a sustained reduction in the median blood glucose, which decreased from 7.0 to 6.8 mmol x l(-1), primarily because of a reduction in the proportion of values above 6 mmol x l(-1). When we...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2006.04817.x

    authors: Bone EG,Young D,Chantler J

    更新日期:2006-10-01 00:00:00

  • Addressing priorities for surgical research in Africa: implementation of a multicentre cloud-based peri-operative registry in Ethiopia.

    abstract::In resource-constrained settings, where inequalities in access to and quality of surgical care results in excess mortality, peri-operative care registries are uncommon. A south-south collaboration supported the implementation of a context specific, clinician-led, multicentre real-time peri-operative registry in Ethiop...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15394

    authors: Network for Peri-operative Critical care (N4PCc)*.

    更新日期:2021-01-25 00:00:00

  • Oxytocin at elective caesarean delivery: a dose-finding study in women with obesity.

    abstract::Prophylactic oxytocin administration at the third stage of labour reduces blood loss and the need for additional uterotonic drugs. Obesity is known to be associated with an increased risk of uterine atony and postpartum haemorrhage. It is unknown whether women with obesity require higher doses of oxytocin in order to ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15322

    authors: Peska E,Balki M,Maxwell C,Ye XY,Downey K,Carvalho JCA

    更新日期:2020-11-23 00:00:00

  • Caudal block for postoperative analgesia in children.

    abstract::A clinical trial was performed to compare the effects of intramuscular dihydrocodeine with caudal bupivacaine on postoperative pain and recovery in 181 children who had undergone either circumcision, inguinal herniotomy or orchidopexy performed under general anaesthesia. Linear analogues were used in assess level of c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1982.tb01717.x

    authors: Bramwell RG,Bullen C,Radford P

    更新日期:1982-10-01 00:00:00

  • Recovery and morbidity after daycase anaesthesia. A comparison of propofol with thiopentone-enflurane with and without alfentanil.

    abstract::The anaesthetic conditions, recovery and side effects for 48 hours postoperatively were compared after anaesthesia for day surgery using propofol or thiopentone-enflurane with and without alfentanil. Propofol provided good conditions for surgery with faster immediate recovery (p less than 0.001); patients who received...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05743.x

    authors: Millar JM,Jewkes CF

    更新日期:1988-09-01 00:00:00

  • The development of 'Diprifusor': a TCI system for propofol.

    abstract::The 'Diprifusor' target controlled infusion system has been developed as a standardised infusion system for the administration of propofol by target controlled infusion. A preferred set of pharmacokinetic parameters for propofol was selected using computer simulation of a known infusion scheme with pharmacokinetic par...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1998.53s115.x

    authors: Glen JB

    更新日期:1998-04-01 00:00:00

  • Speed of injection and spread of bupivacaine in the epidural space.

    abstract::Speed of injection of bupivacaine was assessed in 73 women who received epidural analgesia in labour. Rapid injection was shown to produce quicker onset of epidural block and more reliable perineal anaesthesia than slow injection, but there was no difference in the final extent of the block. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb02990.x

    authors: Griffiths RB,Horton WA,Jones IG,Blake D

    更新日期:1987-02-01 00:00:00

  • A comparison of different modes of noninvasive ventilatory support: effects on ventilation and inspiratory muscle effort.

    abstract::The aims of noninvasive ventilation include the correction of hypoventilation and unloading of inspiratory muscles. Volume cycled flow generators, bi-level positive airway pressure and continuous positive airway pressure techniques have all been used with face and nasal masks. We have compared these modes of ventilato...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb14173.x

    authors: Elliott MW,Aquilina R,Green M,Moxham J,Simonds AK

    更新日期:1994-04-01 00:00:00

  • Ropivacaine in ultrasound-guided femoral nerve block: what is the minimal effective anaesthetic concentration (EC90)?

    abstract::The objective of this study was to estimate the minimal effective anaesthetic concentrations of ropivacaine required to block the femoral nerve in 90% of patients. Forty-five patients who had knee surgery received ultrasound-guided femoral nerve block using 15 ml ropivacaine. The ropivacaine concentration given to a p...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12607

    authors: Taha AM,Abd-Elmaksoud AM

    更新日期:2014-07-01 00:00:00

  • Acid aspiration prophylaxis for emergency Caesarean section.

    abstract::Over a 3.5 year period, 384 patients requiring emergency Caesarean section under general anaesthesia received at random one of six acid aspiration prophylaxis regimens as soon as the decision was made for surgery. In the first phase of the study, sodium citrate administered orally 0.3 M, 30 ml (group C, n = 120) was c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07782.x

    authors: Stuart JC,Kan AF,Rowbottom SJ,Yau G,Gin T

    更新日期:1996-05-01 00:00:00

  • Meta-analysis on the effect of dopexamine on in-hospital mortality.

    abstract::The objective of the study was to determine whether dopexamine alters in-hospital mortality. The following databases were searched, Embase (1974-July 2007), Medline (1950-July 2007), CINAHL, PubMed and Cochrane Clinical Register of Controlled Trials (CENTRAL). Two reviewers independently checked the quality of the stu...

    journal_title:Anaesthesia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/j.1365-2044.2009.05896.x

    authors: Gopal S,Jayakumar D,Nelson PN

    更新日期:2009-06-01 00:00:00

  • A comparison of percutaneous and perconjunctival routes of administration of peri-ocular anaesthesia for day case cataract surgery.

    abstract::This study of 100 day case patients having cataract surgery under local anaesthesia compared patient acceptance of two peri-ocular techniques; a transcutaneous method and a transconjunctival method. A significant difference was found in relation to the pain felt on injection such that all peri-ocular blocks at our uni...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06958.x

    authors: Sweeney EJ,Barber K,Prosser JA

    更新日期:1993-04-01 00:00:00

  • A study of laryngeal mask inflation. Pressures exerted on the pharynx.

    abstract::Laryngeal mask airway cuff inflation pressures were measured when inflated with the same volume of gas firstly in free space and then in position in the pharynx. A large difference in these pressures was observed and this was related to pharyngeal mucosal perfusion pressure. This study shows that it may be easy to pro...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:

    authors: O'Kelly SW,Heath KJ,Lawes EG

    更新日期:1993-12-01 00:00:00

  • TACR1 gene polymorphism and sex differences in postoperative nausea and vomiting.

    abstract::We hypothesised that the genetic effect of single nucleotide polymorphisms in the TACR1 gene, which encodes NK1 receptors, could influence the sex difference in postoperative nausea and vomiting. Thirty-two selected single nucleotide polymorphisms were genotyped by the Sanger sequencing method in 200 patients who unde...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13082

    authors: Hayase T,Sugino S,Moriya H,Yamakage M

    更新日期:2015-10-01 00:00:00

  • Anaesthesia for procedures on the larynx and pharynx. The use of the Bullard laryngoscope in conjunction with high frequency jet ventilation.

    abstract::Twenty patients undergoing elective procedures on the larynx and pharynx were anaesthetised using a propofol infusion and a bolus of vecuronium. High frequency jet ventilation was employed via a 7 French gauge catheter, with a second catheter being used to measure expired carbon dioxide levels. The Bullard laryngoscop...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06916.x

    authors: Mendel P,Bristow A

    更新日期:1993-03-01 00:00:00

  • Delirium after transcatheter aortic valve implantation via the femoral or apical route.

    abstract::We thought that delirium might be less frequent after transcatheter aortic valve implantation via the femoral artery compared with via the cardiac apex. We reviewed 210 patients who underwent transcatheter aortic valve implantation between January 2009 and October 2014. The proportion (95% CI) of patients who suffered...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13524

    authors: Sharma V,Katznelson R,Horlick E,Osten M,Styra R,Cusimano RJ,Carroll J,Djaiani G

    更新日期:2016-08-01 00:00:00

  • Ease of insertion of the laryngeal mask airway by inexperienced personnel when using an introducer.

    abstract::The Portex introducer for the laryngeal mask airway was designed as an aid to successful insertion, acting as an idealised 'artificial hard palate' to guide the tip of the laryngeal mask into the correct position. A number of authors have investigated laryngeal mask insertion by unskilled personnel in certain situatio...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1997.171-az0308.x

    authors: Dingley J,Baynham P,Swart M,Vaughan RS

    更新日期:1997-08-01 00:00:00

  • Response to suxamethonium in a myasthenic patient during remission.

    abstract::A cumulative dose followed by an infusion was used to determine the dose response to suxamethonium in a patient with diagnosed myasthenia gravis who was in true remission (asymptomatic while receiving no therapy). The ED50 and ED90 values for suxamethonium were 0.08 mg/kg and 0.20 mg/kg, and an infusion rate of 3.2 mg...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09310.x

    authors: Abel M,Eisenkraft JB,Patel N

    更新日期:1991-01-01 00:00:00

  • Validation of a point-of-care prothrombin time test after cardiopulmonary bypass in cardiac surgery.

    abstract::Point-of-care coagulation monitoring can be used for the guidance of haemostasis management. However, the influence of time on point-of-care prothrombin time testing following protamine administration after cardiopulmonary bypass has not been investigated. Bland-Altman and error grid analysis were used to analyse the ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13591

    authors: Meesters MI,Kuiper G,Vonk AB,Loer SA,Boer C

    更新日期:2016-10-01 00:00:00

  • Interaction of vecuronium and atracurium during halothane anaesthesia in children.

    abstract::The combination of vecuronium and atracurium was studied in 60 children of ASA physical status 1 or 2. In part I, the dose-response relationships were determined in 30 children who were randomly assigned to receive a single bolus of 0.02, 0.025 or 0.03 mg kg-1 of vecuronium or 0.075, 0.01 or 0.0125 mg.kg-1 of atracuri...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1998.00259.x

    authors: Sloan MH,Bissonnette B,Lerman J

    更新日期:1998-01-01 00:00:00

  • An objective assessment of nerve stimulators used for peripheral nerve blockade*.

    abstract::Nerve stimulation is considered by many to be the current 'gold standard' for locating peripheral nerves. Thirteen nerve stimulators were subjected to a battery of tests performed by two independent observers under standardised conditions using a digital oscilloscope, a calibrated resistance and a novel scoring system...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2006.04645.x

    authors: Jochum D,Iohom G,Diarra DP,Loughnane F,Dupré LJ,Bouaziz H

    更新日期:2006-06-01 00:00:00

  • Resistance and additional inspiratory work imposed by the laryngeal mask airway. A comparison with tracheal tubes.

    abstract::Laryngeal mask airways and tracheal tubes were studied to determine both their resistance to constant gas flows and additional inspiratory work during simulated inspiration. Laryngeal mask airways imposed less resistance and required lower additional inspiratory work compared with the corresponding sized tracheal tube...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02179.x

    authors: Bhatt SB,Kendall AP,Lin ES,Oh TE

    更新日期:1992-04-01 00:00:00

  • Tracheal dilatation complicating prolonged tracheal intubation.

    abstract::A patient with severe acute respiratory distress syndrome requiring prolonged tracheal intubation and mechanical ventilation is described. Tracheal dilation was noted to have occurred following an elective surgical tracheostomy. Eventually, the patient was successfully weaned from mechanical ventilation and the trache...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.t01-3-010-az010.x

    authors: Rhodes A,Lamb FJ,Grounds RM,Bennett ED

    更新日期:1997-01-01 00:00:00

  • A prospective randomised comparison of two insertion methods for i-gel placement in anaesthetised paralysed patients: standard vs. rotational technique.

    abstract::In this prospective randomised study, we compared two techniques for i-gel(™) insertion. One hundred and eighty-one anaesthetised, paralysed adult patients were randomly allocated into one of two groups. In the standard group (n = 91), the i-gel was inserted using the standard technique. In the rotation group (n = 90)...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/anae.12680

    authors: Kim HC,Yoo DH,Kim HJ,Jeon YT,Hwang JW,Park HP

    更新日期:2014-07-01 00:00:00