Unpredictability of regression of analgesia during the continuous postoperative extradural infusion of bupivacaine.

Research output: Contribution to journalJournal articleResearch

  • T Mogensen
  • N C Hjortsø
  • D Bigler
  • Claus Lund
  • H Kehlet
Twenty-four otherwise healthy patients scheduled for elective major abdominal surgery received general anaesthesia plus lumbar extradural analgesia. A loading dose of 0.5% plain bupivacaine was given to produce sensory analgesia (pin prick) from T4 to S5 and followed by a continuous infusion of 0.5% plain bupivacaine 8 ml h-1. Pain, scored on a 5-point scale, and sensory analgesia were assessed hourly for 16 h after skin incision. If sensory analgesia decreased by more than 5 segments from its preoperative level, or if the pain score reached 2 (moderate pain), the patients were removed from the study, and pain was treated otherwise. Only three patients maintained their initial levels of sensory analgesia and a pain score of less than 2. In the remaining patients sensory analgesia decreased at least 5 segments or pain score reached 2 between 4 and 16 h after skin incision. We found a weak correlation between increasing age and the duration of sensory analgesia (r = 0.46, P less than 0.05), but no significant correlations between duration of sensory analgesia and sex, weight, height, body surface area, serum albumin concentration, duration or site of operation.
Translated title of the contributionUnpredictability of regression of analgesia during the continuous postoperative extradural infusion of bupivacaine.
Original languageEnglish
JournalBritish Journal of Anaesthesia
Volume60
Issue number5
Pages (from-to)515-519
Number of pages5
ISSN0007-0912
Publication statusPublished - 1988

ID: 40176278