Key result
Intravenous on-demand fentanyl produced satisfactory analgesia without respiratory depression, comparable to epidural bupivacaine, after peripheral arterial surgery.
Why the study?
Does intravenous on-demand fentanyl provide adequate postoperative pain relief compared to epidural bupivacaine in patients after peripheral arterial surgery?
RCT
Does intravenous on-demand fentanyl provide adequate postoperative pain relief compared to epidural bupivacaine in patients after peripheral arterial surgery?
Intravenous patient-controlled fentanyl offers a viable and advantageous alternative to epidural bupivacaine for postoperative analgesia following peripheral arterial surgery.
Answers are grounded in this paper and cite their sources.
Supports IV fentanyl PCA as alternative to epidural after peripheral arterial surgery; extends non-neuraxial analgesia options in vascular patients.
In a randomised trial postoperative pain relief was provided by either epidural injections of bupivacaine or an infusion of fentanyl adjusted by the patient to achieve adequate pain relief. Both techniques produced satisfactory analgesia without respiratory depression after peripheral arterial surgery. The technique of infusing intravenously a potent analgesic in a dose adjusted by the patient appears to offer several advantages in postoperative care.
No takes yet. Share an insight, caveat, or question.
White et al. (1979) conducted an RCT in Postoperative pain after peripheral arterial surgery. Intravenous on-demand fentanyl vs. Epidural injections of bupivacaine was evaluated on Satisfactory analgesia without respiratory depression. Intravenous on-demand fentanyl produced satisfactory analgesia without respiratory depression, comparable to epidural bupivacaine, after peripheral arterial surgery.
Synapse has enriched 10 related papers. Consider them for comparative context: