title: [Continuous wound infiltration for upper abdominal surgery: 3 case reports].
abstract: We report three cases of continuous wound infiltration (CWI) for postoperative analgesia in upper abdominal surgery using the multi-holed epidural catheter. Ropivacaine 0.2% at a rate of 8 ml x hr(-1) was administered through the catheters after surgery. Intravenous-patient controlled analgesia was used as a rescue. The postoperative pain was well controlled, and all patients could walk the next day after surgery. The consumption of rescue morphine was little and no side effect of morphine was observed. CWI is an easy procedure and is indicated in the patients with hemostatic abnormality and a difficulty in the epidural anesthesia. CWI was an effective technique for postoperative pain control in the upper abdominal surgery patients.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Jichi Medical University School of Medicine, Shimotsuke 329-0498.
authors.forename: Naho
authors.initials: N
authors.lastname: Sata
authors.forename: Kunihisa
authors.initials: K
authors.lastname: Hotta
authors.forename: Koki
authors.initials: K
authors.lastname: Taira
authors.forename: Mamoru
authors.initials: M
authors.lastname: Takeuchi
authors.forename: Norimasa
authors.initials: N
authors.lastname: Seo
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D000577:Amides / Q000008:administration & dosage; D015360:Analgesia, Epidural / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy*; D000077212:Ropivacaine
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine