Continuous Epidural Infusion of Large Concentration/Small Volume Versus Small Concentration/Large Volume of Levobupivacaine for Postoperative Analgesia

2003 ◽  
pp. 796-801 ◽  
Author(s):  
Mira Dernedde ◽  
Michaela Stadler ◽  
Francoise Bardiau ◽  
and Jean G. Boogaerts
2003 ◽  
Vol 97 (6) ◽  
pp. 1608-1611 ◽  
Author(s):  
Emmanuel Antok ◽  
Fabienne Bordet ◽  
Frédéric Duflo ◽  
Sabine Lansiaux ◽  
Sylvie Combet ◽  
...  

1999 ◽  
Vol 89 (2) ◽  
pp. 395-398 ◽  
Author(s):  
Sandra Kampe ◽  
Christoph Weigand ◽  
Jost Kaufmann ◽  
Markus Klimek ◽  
Dietmar Pierre Konig ◽  
...  

2005 ◽  
Vol 103 (5) ◽  
pp. 1079-1088 ◽  
Author(s):  
Christopher L. Wu ◽  
Seth R. Cohen ◽  
Jeffrey M. Richman ◽  
Andrew J. Rowlingson ◽  
Genevieve E. Courpas ◽  
...  

The authors performed a meta-analysis and found that epidural analgesia overall provided superior postoperative analgesia compared with intravenous patient-controlled analgesia. For all types of surgery and pain assessments, all forms of epidural analgesia (both continuous epidural infusion and patient-controlled epidural analgesia) provided significantly superior postoperative analgesia compared with intravenous patient-controlled analgesia, with the exception of hydrophilic opioid-only epidural regimens. Continuous epidural infusion provided statistically significantly superior analgesia versus patient-controlled epidural analgesia for overall pain, pain at rest, and pain with activity; however, patients receiving continuous epidural infusion had a significantly higher incidence of nausea-vomiting and motor block but lower incidence of pruritus. In summary, almost without exception, epidural analgesia, regardless of analgesic agent, epidural regimen, and type and time of pain assessment, provided superior postoperative analgesia compared to intravenous patient-controlled analgesia.


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