- 상복부 수술 환자에서 Fentanyl, Bupivacaine 및 Clonidine혼용에 의한 경막외 제통에 대한 평가
- ㆍ 저자명
- 임웅모,윤명하,한상도,Im. Woong-Mo,Yoon. Myung-Ha,Han. Sang-Do
- ㆍ 간행물명
- 大韓痛症學會誌
- ㆍ 권/호정보
- 1996년|9권 1호|pp.159-165 (7 pages)
- ㆍ 발행정보
- 대한통증학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Background: Epidural analgesia has been widely used for postoperative pain relief. However, it is not known which regimen provides the best result due to many variety. The aim of this study is to evaluate the analgesia and side effects of epidural mixute of fentanyl, bupivacaine and clonidine, as one kind of regimen. Methods: One hundred adult patients scheduled for upper abdominal surgery under general anesthesia were evaluated. Epidural catheterization was done after operation. A bolus, 0.1% bupivacaine 10 ml containing fentanlyl 100 ${mu}g$, was administered and followed up with continuous infusion of mixture of fntanyl 600 ${mu}g$, 0.5% bupivacaine 20ml and clonidine 150 ${mu}g$ at a rate of 2ml/hr for 50 hours. Analgesia was assessed using VAS, PHS and PRS. Side effects and number of patients who took additional analgesics were evalutated. Plasma samples were obtained to determine fentanyl concentration. Results: After the administrations of drugs, patients pain scores decreased notably, and pain relief scores increased significantly. Minimum side effects were noted. Twenty-one patients required additional analgesics. Plasma concentration of fentanyl was 0.07~0.14 ng/ml. Conclusion: Epidural infusion of mixture of fentanyl, bupivacaine and clonidine is an effective regimen for postoperative pain relief after upper abdominal surgery.