engleski

Epidural vs intravenous analgesia after major abdominal surgery ; our experiences.

Background and purpose: Patient undergoing major abdominal surgery experience postoperative pain. The aim of this study was to compare the effect of epidural and intravenous analgesia. Patients and methods: A prospective study was performed during 12 months. The study enrolled 199 patients following major abdominal surgery. One group of 77 patients received epidural analgesia (0, 5% levobupivacainum + 0, 1 mg Fentanyl + 0, 1 mg Epinephrinhydrochlorid ad 50 mL 0, 9% NaCl). The other group of 122 patients received analgesia intravenously (Pethidinhydrochlorid or Tramadolum or Morphini hydrochloridum). Age, gender, ASA physical status and analgetics consumption were noted. Pain was evaluated with the Visual analogue scale (VAS) immediately after the operation, after 4, 12, 24 and 48 hours. We noted patients satisfactions of analgesia, time to peristaltics, nausea, vomiting, complication rate and number of Intensive Care Unit (ICU) days. Results: Statistical significant advantages epidural analgesia are: less consumption intravenous opioids (p<0, 05), less VAS score (3:6), less time to peristaltics (16:34 hours) and more patients satisfaction of analgesia (1:3). Conclusions: Epidural analgesia is effective analgesics method with low complications rate and high patients satisfaction and therefore recommended in patients undergoing major abdominal surgery.

epidural analgesia; intravenous analgesia; abdominal surgery

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