Epidural lidocaine with sufentanil and epinephrine for abdominal hysterectomy under general anaesthesia: respiratory depression and postoperative analgesia

Background: In perioperative care, a reliable pain management is a vital appeal. Over recent years, Transversus Abdominis Plane (TAP) block is introduced as an important component of multimodal analgesia.Objective: To evaluate efficacy of TAP block in postoperative analgesia for Total Abdominal Hysterectomy (TAH) with subarachnoid block (SAB) in comparison of morphine consumption and VAS score.Methods: 60 patients were randomly allocated into 2 groups (TAP group-A & control group-B). Standard SAB was applied to all patients for elective TAH. Immediate after operation classical TAP block was performed through both Lumber Triangle Of Petit (LTOP) of group A patients. Both groups were placed in Post Anesthesia Care Unit (PACU), arranged a common standard postoperative analgesic regimen for all, observed periodically and documented it accordingly in pre-designed data sheet.Results: TAP block prolonged the mean time of 1st required I/V morphine (TAP vs control, mean±SD 271.23±40.34 vs 195.33±22.16 min., p=0.001HS). Morphine requirement was also reduced (17.4±5.4 vs 26.2±4.4 mg, p=0.001HS). Pain VAS scores at rest and movement were also reduced at all time period (p? 0.01 to 0.001). There was no complication attributed to the TAP block.Conclusion: TAP block provided considerably effective postoperative analgesia in first 24 hours after major abdominal surgery like TAH.Journal of Bangladesh Society of Anaesthesiologists 2014; 27(1): 3-11

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COMPARISON OF EFFECT OF MAGNESIUM SULPHATE AND PRESERVATIVE-FREE KETAMINE AS AN ADJUNCT TO EPIDURAL BUPIVACAINE FOR POSTOPERATIVE ANALGESIA IN ABDOMINAL HYSTERECTOMY

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2017/753 ◽

2017 ◽

Vol 4 (63) ◽

pp. 3774-3778

Author(s):

Radha Korumbil Raghavan ◽

Ashtamoorthi Mylamkodath Kesavan ◽

Fijul Komu

Keyword(s):

Postoperative Analgesia ◽

Magnesium Sulphate ◽

Abdominal Hysterectomy ◽

Epidural Bupivacaine ◽

Preservative Free

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A Comparison of Epidural 0.2% Ropivacaine Alone and in Combination with 4 microgram/ml Fentanyl for Postoperative Analgesia after Total Abdominal Hysterectomy

Korean Journal of Anesthesiology ◽

10.4097/kjae.2000.39.4.548 ◽

2000 ◽

Vol 39 (4) ◽

pp. 548

Author(s):

Seon Hwa Lee ◽

Jong Il Kim ◽

Sang Gon Lee ◽

Jong Seuk Ban ◽

Byoung Woo Min

Keyword(s):

Postoperative Analgesia ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy

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Postoperative Analgesia for Haemorrhoid Surgery

Anaesthesia and Intensive Care ◽

10.1177/0310057x8301100106 ◽

1983 ◽

Vol 11 (1) ◽

pp. 27-30 ◽

Cited By ~ 16

Author(s):

D. A. Pybus ◽

B. E. D'Bras ◽

G. Goulding ◽

H. Liberman ◽

T. A. Torda

Keyword(s):

Postoperative Pain ◽

General Anaesthesia ◽

Postoperative Analgesia ◽

Normal Saline ◽

Morphine Sulphate ◽

Control Group ◽

Treatment Groups ◽

Number Of Patients ◽

Caudal Analgesia ◽

The Mean

Seventy patients undergoing haemorrhoidectomy under general anaesthesia were randomly allocated to one of five treatment groups in order to compare the effectiveness of various caudal agents in the control of postoperative pain. Four groups were given a caudal injection of either 2% lignocaine, 0.5% bupivacaine, 2% lignocaine + morphine sulphate 4 mg or normal saline + morphine sulphate 4 mg, while the fifth (control) group did not receive an injection. The number of patients requiring postoperative opiates was significantly higher in the lignocaine group than in the morphine (p <0.05) and morphine-lignocaine (p <0.05) groups. No agent significantly reduced the number requiring opiates. In those who received opiates, the mean analgesic period was 228 minutes in the control group, and was significantly longer following bupivacaine (577 min, p <0.01), morphine-lignocaine (637 min, p <0.05) and morphine (665 min, p <0.01). The mean analgesic period following lignocaine (349 min) was not significantly different from control. The incidence of catheterisation was lowest in those patients who did not receive caudal analgesia.

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