Caudal Buprenorphine for Postoperative Pain Control after Abdominal Surgery

Buprenorphine 천골강내(薦骨腔內) 주입(注入)에 의(依)한 술후(術後) 제통효과(除痛效果)

  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Koh, Soon-Young (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Department of Anesthesiology, Yonsei University College of Medicine)
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 고순영 (연세대학교 의과대학 마취과학교실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실)
  • Published : 1988.06.30

Abstract

Caudal buprenorphine was investigated as a postoperative analgesic in a randominzed double blind study of 45 patients after abdominal surgery. At the end of surgery, patients were given 0.2 mg of caudal buprenorphine in 20 ml saline(n=30, experimental group) or no injection(n=15, control group). Pain relief was evaluated by the subsequent need for systemic analgesics(pethidine). Arterial blood gas and micturition disturbance were evaluated. In the buprenophine group, use of systemic analgesics was significantly reduced for the first 24 hours postoperatively. Arterial blond gas study values 2 hollers after buprenorphine administration were within normal range. 8 patients of the buprenorphine group developed urinary retention requiring temporary Nelaton catheterization of the bladder. Caudal buprenorphine for postoperative pain control was a good alternate method of postoperative pain management.

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