Prevention of postoperative pain by balanced analgesia.
Fourteen patients undergoing colorectal surgery received an intraoperative afferent neural block with combined intrathecal and extradural local anaesthetics plus a balanced postoperative low-dose regimen of extradural bupivacaine 10 mg h-1-morphine 0.2 mg h-1 and systemic piroxicam 20 mg/24 h. Postoperative pain, assessed repeatedly during the initial 48 h, was prevented during rest, mobilization from the supine to the sitting position and during walking, in all but one patient; slight pain was observed intermittently during coughing in four patients.
Dahl
J B
JB
Department of Anaesthesia, Hvidovre University Hospital, Denmark.
Rosenberg
J
J
Dirkes
W E
WE
Mogensen
T
T
Kehlet
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015360:Analgesia, Epidural; D000768:Anesthesia, General; D000775:Anesthesia, Spinal; D002045:Bupivacaine / Q000008:administration & dosage; D003082:Colectomy; D005260:Female; D006801:Humans; D008012:Lidocaine; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage; D010149:Postoperative Pain / Q000517:prevention & control*; D010894:Piroxicam / Q000627:therapeutic use
D010894:Piroxicam; D009020:Morphine; D008012:Lidocaine; D002045:Bupivacaine