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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제34권 제1호
- 발행연도
- 2017.1
- 수록면
- 37 - 42 (6page)
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Background: A motor blockade of lower limbs interferes with early ambulation and limits the usefulness of patient-controlled epidural analgesia (PCEA). The concentration of local anesthetic solution is a major determinant for motor block with PCEA. We compared the effects of epidural infusion of 0.075% ropivacaine with 0.15% epidural ropivacaine on postoperative analgesia, motor block of lower limbs, and other side effects.
Methods: A total of 70 patients undergoing laparoscopic gynecologic surgery received epidural infusions (group R1, 0.15% ropivacaine with fentanyl; group R2, 0.075% ropivacaine with fentanyl). Pain score, motor block, and side effects (hypotension, nausea, vomiting, pruritus, urinary retention, dizziness, and numbness) were measured.
Results: There were no significant differences in the demographic profiles between the groups. Pain scores of the group R1 and the group R2 were not significantly different. Motor block was more frequent in the group R1 (0.15% ropivacaine with fentanyl) than in the group R2 (0.075% ropivacaine with fentanyl).
Conclusion: Lower concentration of ropivacaine (0.075%), when compared with higher concentration of ropivacaine (0.15%), seemed to provide similar analgesia with less motor blockade of the lower limbs for the purpose of PCEA.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Buggy DJ / 2000 / Motor block during patient-controlled epidural analgesia with ropivacaine or ropivacaine/fentanyl after intrathecal bupivacaine for caesarean section / Br
Butterworth JF / 2013 / Morgan & Mikhail’s clinical anesthesiology / McGraw-Hill : 958 ~ 972
Cepeda MS / 2003 / Side effects of opioids during short-term administration:effect of age, gender, and race / Clin Pharmacol Ther 74 : 102 ~ 112
Cullen ML / 1985 / Continuous epidural infusion for analgesia after major abdominal operations: a randomized, prospective, double-blind study / Surgery 98 : 718 ~ 728
Etches RC / 1997 / Continuous epidural ropivacaine 0.2% for analgesia after lower abdominal surgery / Anesth Analg 84 : 784 ~ 790
Butterworth JF / 2013 / Morgan & Mikhail’s clinical anesthesiology / McGraw-Hill : 958 ~ 972
Cepeda MS / 2003 / Side effects of opioids during short-term administration:effect of age, gender, and race / Clin Pharmacol Ther 74 : 102 ~ 112
Cullen ML / 1985 / Continuous epidural infusion for analgesia after major abdominal operations: a randomized, prospective, double-blind study / Surgery 98 : 718 ~ 728
Etches RC / 1997 / Continuous epidural ropivacaine 0.2% for analgesia after lower abdominal surgery / Anesth Analg 84 : 784 ~ 790
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