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Efficacy of thoracic epidural analgesia following laparoscopic cholecystectomy

Published online by Cambridge University Press:  16 August 2006

Y. Fujii
Affiliation:
Department of Anaesthesiology, University of Tsukuba Institute of Clinical Medicine, Tsukuba City, Japan
H. Toyooka
Affiliation:
Department of Anaesthesiology, University of Tsukuba Institute of Clinical Medicine, Tsukuba City, Japan
H. Tanaka
Affiliation:
Department of Anaesthesiology, Toride Kyodo General Hospital, Toride City, Ibaraki, Japan
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Abstract

This study was undertaken to determine whether epidural analgesia has any benefit for post-operative pain relief in patients undergoing laparoscopic cholecystectomy. Patients were randomly assigned to receive post-operative epidural analgesia with a morphine–bupivacaine combination (Group A, n=22) or placebo (saline) (Group B, n=22). The same standard general anaesthetic technique, which consists of nitrous oxide and isoflurane in oxygen was used. Analgesia was assessed using visual analogue pain scores (0–10 cm). The evaluation was carried out 24 and 48 h post-operatively. At 24 h after anaesthesia, pain scores in Group A (2.3±1.2) were lower than those in Group B (4.4±1.5) (P<0.05). However, at 48 h post-operatively, no difference in scores was observed between the two groups. In conclusion, epidural analgesia with a morphine–bupivacaine combination improves pain relief during the first 24 h following laparoscopic cholecystectomy.

Type
Original Article
Copyright
1998 European Society of Anaesthesiology

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