Comparison between epidural anesthesia (bupivacaine & fentanyl)‎ mixture and continuous intravenous morphine for pain control in the treatment of major abdominal vascular surgery at queen alia hospital

Joint Authors

Janho, Kristi Ilyas
Ahmad, Murhij
al-Nusur, Taysir
Kilani, Muhammad T.
Khasawinah, Ibrahim
Hudayb, Maha

Source

Journal of the Royal Medical Services

Issue

Vol. 16, Issue 1 (30 Apr. 2009), pp.34-37, 4 p.

Publisher

The Royal Medical Services Jordan Armed Forces

Publication Date

2009-04-30

Country of Publication

Jordan

No. of Pages

4

Main Subjects

Medicine

Topics

Abstract EN

Objective: To compare the use of continuous epidural analgesia (Bupivacaine & Fentanyl) mixture and continuous intravenous Morphine in regard to efficacy and side effects for the relief of postoperative pain in the treatment of abdominal vascular surgery (upper and lower abdominal surgery).

Methods: This study was conducted at Queen Alia Hospital between January 2003 and December 2005.

Age range of the study participants was between 45-80 years, 85 were males and 21 were females.

The patients signed a consent form for surgical and anesthesia intervention.

A total of 106 patients who had coronary artery disease, diabetes mellitus, chronic obstructive pulmonary disease, chronic renal failure or more than one of these diseases (American Society of Anesthesiologists III and IV class) were divided into two treatment modalities.

Group A (60 patients) received continuous epidural analgesia (Bupivacain & Fentanyl) mixture while group B (46 patients) received continuous intravenous morphine for the relief of postoperative pain in the treatment of major abdominal vascular surgery.

Pain was assessed postoperatively using pain relief score.

The different side effects reported included nausea and vomiting, motor block, respiratory depression and sedation.

Simple descriptive statistics and the Chi-Square test were used to analyze the data.

P value of < 0.05 was considered statically significant.

Results: Pain relief was better among patients in group A than those in group B (P<0.001).

Similarly, there was a lower statistically significant difference regarding side effects among patients in group A.

Conclusion: Patients who received continuous epidural Bupivacaine & Fentanyl experienced better pain relief and fewer complications than those in the Morphine group.

Results indicate that the use of epidural anesthesia (Fentanyl & Bupivacaine) is a safe procedure and is more efficient than the continuous intravenous morphine for pain relief in the treatment of major abdominal vascular surgery.

American Psychological Association (APA)

al-Nusur, Taysir& Kilani, Muhammad T.& Ahmad, Murhij& Khasawinah, Ibrahim& Janho, Kristi Ilyas& Hudayb, Maha. 2009. Comparison between epidural anesthesia (bupivacaine & fentanyl) mixture and continuous intravenous morphine for pain control in the treatment of major abdominal vascular surgery at queen alia hospital. Journal of the Royal Medical Services،Vol. 16, no. 1, pp.34-37.
https://search.emarefa.net/detail/BIM-119720

Modern Language Association (MLA)

al-Nusur, Taysir…[et al.]. Comparison between epidural anesthesia (bupivacaine & fentanyl) mixture and continuous intravenous morphine for pain control in the treatment of major abdominal vascular surgery at queen alia hospital. Journal of the Royal Medical Services Vol. 16, no. 1 (Apr. 2009), pp.34-37.
https://search.emarefa.net/detail/BIM-119720

American Medical Association (AMA)

al-Nusur, Taysir& Kilani, Muhammad T.& Ahmad, Murhij& Khasawinah, Ibrahim& Janho, Kristi Ilyas& Hudayb, Maha. Comparison between epidural anesthesia (bupivacaine & fentanyl) mixture and continuous intravenous morphine for pain control in the treatment of major abdominal vascular surgery at queen alia hospital. Journal of the Royal Medical Services. 2009. Vol. 16, no. 1, pp.34-37.
https://search.emarefa.net/detail/BIM-119720

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 37

Record ID

BIM-119720