SYNERGISM BETWEEN ANALGESICS

被引:8
作者
KEHLET, H
机构
[1] Department of Surgical Gastroenterology, Hvidovre University Hospital, Hvidovre
关键词
POSTOPERATIVE PAIN; BALANCED ANALGESIA; COMBINATION THERAPY;
D O I
10.3109/07853899509031968
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The concept and value of 'multimodal' or 'balanced' analgesia in the treatment of postoperative pain is reviewed. Based upon the relatively few multimodal studies compared to unimodal studies, it is concluded that a combination of analgesics will improve pain relief including movement-associated pain. Since analgesic combination therapy is rational, further studies are needed to evaluate the optimal combination for each surgical procedure, as well as to assess the risk of side effects and need for surveillance in large-scale studies.
引用
收藏
页码:259 / 262
页数:4
相关论文
共 39 条
[1]   POSTARTHROSCOPY ANALGESIA WITH INTRAARTICULAR BUPIVACAINE MORPHINE - A RANDOMIZED CLINICAL-TRIAL [J].
ALLEN, GC ;
STAMAND, MA ;
LUI, ACP ;
JOHNSON, DH ;
LINDSAY, MP .
ANESTHESIOLOGY, 1993, 79 (03) :475-480
[2]   ADDITION OF FENTANYL TO PRILOCAINE FOR INTRAVENOUS REGIONAL ANESTHESIA [J].
ARMSTRONG, P ;
POWER, I ;
WILDSMITH, JAW .
ANAESTHESIA, 1991, 46 (04) :278-280
[3]  
ARTHUR JM, 1992, REGION ANESTH, V17, P223
[4]   BUPIVACAINE 0.125-PERCENT IMPROVES CONTINUOUS POSTOPERATIVE EPIDURAL FENTANYL ANALGESIA AFTER ABDOMINAL OR THORACIC-SURGERY [J].
BADNER, NH ;
BHANDARI, R ;
KOMAR, WE .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1994, 41 (05) :387-392
[5]  
BIGLER D, 1992, ACTA ANAESTH SCAND, V63, P647
[6]  
BJORNSSON A, 1994, REGION ANESTH, V19, P104
[7]   ANALGESIC EFFECT OF INTRAARTICULAR MORPHINE, BUPIVACAINE, AND MORPHINE BUPIVACAINE AFTER ARTHROSCOPIC KNEE SURGERY [J].
BODEN, BP ;
FASSLER, S ;
COOPER, S ;
MARCHETTO, PA ;
MOYER, RA .
ARTHROSCOPY, 1994, 10 (01) :104-107
[8]  
CARABINE UA, 1992, BRIT J ANAESTH, V88, P338
[9]  
CHRUBASIK J, 1993, EUR J ANAESTH, V10, P79
[10]   PATIENT-CONTROLLED EXTRADURAL ANALGESIA TO COMPARE BUPIVACAINE, FENTANYL AND BUPIVACAINE WITH FENTANYL IN THE TREATMENT OF POSTOPERATIVE PAIN [J].
COOPER, DW ;
TURNER, G .
BRITISH JOURNAL OF ANAESTHESIA, 1993, 70 (05) :503-507