Why the study?
Does patient-controlled epidural fentanyl reduce fentanyl consumption or improve pain, sedation, and nausea scores compared to intravenous fentanyl in patients having upper abdominal surgery?
Population
n=20 patients having upper abdominal surgery
Comparison
Fentanyl for postoperative analgesia by… vs Fentanyl for postoperative analgesia by…
Design
RCT, randomly allocated, open
Follow-up
24 hours
Authors
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Supports epidural fentanyl to halve opioid dose in upper abdominal surgery without worsening scores; extends RCT evidence for the epidural route as opioid-sparing.
Does patient-controlled epidural fentanyl reduce fentanyl consumption or improve pain, sedation, and nausea scores compared to intravenous fentanyl in patients having upper abdominal surgery?
Patient-controlled epidural fentanyl provides similar postoperative analgesia to intravenous fentanyl but requires less than half the opioid dose in patients undergoing upper abdominal surgery.
WELCHEW et al. (1991) studied this question.
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