Side-effects of epidural infusions of opioid bupivacaine mixtures

被引:41
作者
Gedney, JA [1 ]
Liu, EHC [1 ]
机构
[1] Norfolk & Norwich Hosp, Dept Anaesthesia, Norwich NR1 3SR, Norfolk, England
关键词
analgesics; diamorphine; fentanyl; methadone; morphine; pethidine; anaesthetic techniques; regional; epidural anaesthetics; local; bupivacaine; complications;
D O I
10.1046/j.1365-2044.1998.00636.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The incidence of side-effects occurring with epidural diamorphine (0.05 mg.ml(-1)), fentanyl (2.0 mu g.ml(-1)), methadone (0.1 mg.ml(-1)), morphine (0.05 mg.ml(-1)) and pethidine (1.0 mg.ml(-1)) used by infusion in combination with bupivacaine has been compared. One hundred and sixty patients were studied, 32 receiving each opioid. The incidence of nausea and vomiting was significantly greater with morphine than fentanyl (p = 0.0097) and pethidine (p = 0.0021). The incidence of pruritis tvas significantly greater with morphine and diamorphine than with methadone (p = 0.012) and pethidine (p = 0.027). Morphine was also associated with a significantly greater incidence of urinary retention than pethidine (p = 0.012) and methadone (p = 0.025).
引用
收藏
页码:1148 / 1155
页数:8
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