Acta Anaesthesiologica Taiwanica
Volume 48, Issue 2 , Pages 68-74 , June 2010

Epidural Analgesia With Low-concentration Levobupivacaine Combined With Fentanyl Provides Satisfactory Postoperative Analgesia for Colorectal Surgery Patients

  • Mei-Chi Lin

      Affiliations

    • Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
  • ,
  • Jui-Yu Huang

      Affiliations

    • Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
  • ,
  • Hsuan-Chih Lao

      Affiliations

    • Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
  • ,
  • Pei-Shan Tsai

      Affiliations

    • Graduate Institute of Nursing, Taipei Medical University, Taipei, Taiwan, R.O.C.
  • ,
  • Chun-Jen Huang

      Affiliations

    • Department of Pharmacology, Taipei Medical University, Taipei, Taiwan, R.O.C.
    • Department of Anesthesiology, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan, R.O.C.
    • School of Medicine, Tzu Chi University, Hualien, Taiwan, R.O.C.
    • Corresponding Author InformationCorresponding author. Department of Anesthesiology, Buddhist Tzu Chi General Hospital, Taipei Branch, 289 Jianguo Road, Sindian, Taipei 231, Taiwan, R.O.C.

Received 24 September 2009 ,Revised 29 January 2010 ,Accepted 3 February 2010.

References 

  1. Ivani G , Borghi B , van Oven H . Levobupivacaine . Minerva Anestesiol . 2001;67:20–23
  2. Foster RH , Markham A . Levobupivacaine: a review of its pharmacology and use as a local anaesthetic . Drugs . 2000;59:551–579
  3. Groban L . Central nervous system and cardiac effects from long-acting amide local anesthetic toxicity in the intact animal model . Reg Anesth Pain Med . 2003;28:3–11
  4. Burlacu CL , Buggy DJ . Update on local anesthetics: focus on levobupivacaine . Ther Clin Risk Manag . 2008;4:381–392
  5. Celleno D , Parpaglioni R , Frigo MG , Barbati G . Intrathecal levobupivacaine and ropivacaine for cesarean section. New perspectives . Minerva Anestesiol . 2005;71:521–525
  6. Casati A , Ostroff R , Casimiro C , Faluhelyi A , Medina J , Fanelli G . 72-hour epidural infusion of 0.125% levobupivacaine following total knee replacement: a prospective, randomized, controlled, multicenter evaluation . Acta Biomed . 2008;79:28–35
  7. Senard M, Kaba A, Jacquemin MJ, Maquoi LM, Geortay MP, Honore PD, et al  Epidural levobupivacaine 0.1% or ropivacaine 0.1% combined with morphine provides comparable analgesia after abdominal surgery . Anesth Analg . 2004;98:389–394
  8. Murdoch JA , Dickson UK , Wilson PA , Berman JS , Gad-Elrab RR , Scott NB . The efficacy and safety of three concentrations of levobupivacaine administered as a continuous epidural infusion in patients undergoing orthopedic surgery . Anesth Analg . 2002;94:438–444
  9. Cheung CW , Ying CL , Lee LH , Tsang SF , Tsui SL , Irwin MG . An audit of postoperative intravenous patient-controlled analgesia with morphine: evolution over the last decade . Eur J Pain . 2009;13:464–471
  10. Warren A , King L . A review of the efficacy of dexamethasone in the prevention of postoperative nausea and vomiting . J Clin Nurs . 2008;17:58–68
  11. Carli F , Trudel JL , Belliveau P . The effect of intraoperative thoracic epidural anesthesia and postoperative analgesia on bowel function after colorectal surgery: a prospective, randomized trial . Dis Colon Rectum . 2001;44:1083–1089
  12. Dernedde M , Stadler M , Bardiau F , Boogaerts JG . Continuous epidural infusion of large concentration/small volume versus small concentration/large volume of levobupivacaine for postoperative analgesia . Anesth Analg . 2003;96:796–801
  13. Dernedde M , Stadler M , Taviaux N , Boogaerts JG . Postoperative patient-controlled thoracic epidural analgesia: importance of dose compared to volume or concentration . Anaesth Intensive Care . 2008;36:814–821
  14. McKeage K , Simpson D , Wagstaff AJ . Intravenous droperidol: a review of its use in the management of postoperative nausea and vomiting . Drugs . 2006;66:2123–2147
  15. Turner G, Blake D, Buckland M, Chamley D, Dawson P, Goodchild C, et al  Continuous extradural infusion of ropivacaine for prevention of postoperative pain after major orthopaedic surgery . Br J Anaesth . 1996;76:606–610
  16. Golembiewski J , Chernin E , Chopra T . Prevention and treatment of postoperative nausea and vomiting . Am J Health Syst Pharm . 2005;62:1247–1260

PII: S1875-4597(10)60016-1

doi: 10.1016/S1875-4597(10)60016-1

Acta Anaesthesiologica Taiwanica
Volume 48, Issue 2 , Pages 68-74 , June 2010