[Intravenous patient controlled analgesia combined with continuous thoracic epidural analgesia for post-thoracotomy pain].
We compared the efficacy of intravenous patient controlled analgesia of buprenorphine plus continuous thoracic epidural infusion of bupivacaine (IV-PCA group) with the efficacy of continuous thoracic epidural infusion of bupivacaine and buprenorphine (the TEA group). No patient in IV-PCA group required supplemental analgesics, while 90% of TEA group required supplemental intramuscular buprenorphine to relieve post-thoracotomy pain. In TEA group, 94% of the supplemental drugs were administered during night shifts. These results indicate that IV-PCA of buprenorphine combined with continuous thoracic epidural infusion of bupivacaine is more effective analgesic management than continuous TEA with buprenorphine and bupivacaine.
Satoh
M
M
Department of Anesthesiology, Jichi Medical School, Tochigi 329-0498.
Hirabayashi
Y
Y
Seo
N
N
D000328:Adult; D015360:Analgesia, Epidural; D016058:Analgesia, Patient-Controlled; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D002047:Buprenorphine / Q000008:administration & dosage; D006801:Humans; D008875:Middle Aged; D010149:Postoperative Pain / Q000628:therapy*; D013908:Thoracotomy
D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D002047:Buprenorphine; D002045:Bupivacaine