[Risks in postoperative pain therapy using a peridural catheter in a normal general ward].
In general surgical wards postoperative epidural analgesia was performed in 286 patients consecutively. Epidural catheters were kept in place 8.3 days in the average with a minimum of 24 h and a maximum of 45 d. Bupivacain was applied as a 0.25% solution with an average daily dose of 75-250 mg and single doses of 12.5-50.0 mg. An uncomplicated course was noticed in 250 cases, 19 cases showed haemodynamic, 7 cases neurologic and 10 cases technical complications. Severe decrease of systolic blood pressure more than 30% of the control value was due to postoperative haemorrhage, to anaemia with Hgb-concentration lower than 11 g/dl or to untreated chronical hypertension. On the basis of these observations a list of conditions has been drawn up which should be adhered to when epidural catheters are used for postoperative pain relief in normal wards.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural / Q000295:instrumentation*; D002045:Bupivacaine / Q000009:adverse effects; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D004305:Dose-Response Relationship, Drug; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D009420:Nervous System / Q000187:drug effects; D010149:Postoperative Pain / Q000188:drug therapy*; D012306:Risk; D014947:Wounds and Injuries / Q000601:surgery*
D002045:Bupivacaine
Das Risiko einer postoperativen Schmerztherapie mittels Periduralkatheter unter den organisatorischen Bedingungen normaler Krankenpflegestationen.