Prevention of postoperative pain by balanced analgesia

Br J Anaesth. 1990 Apr;64(4):518-20. doi: 10.1093/bja/64.4.518.

Abstract

Fourteen patients undergoing colorectal surgery received an intraoperative afferent neural block with combined intrathecal and extradural local anaesthetics plus a balanced postoperative low-dose regimen of extradural bupivacaine 10 mg h-1-morphine 0.2 mg h-1 and systemic piroxicam 20 mg/24 h. Postoperative pain, assessed repeatedly during the initial 48 h, was prevented during rest, mobilization from the supine to the sitting position and during walking, in all but one patient; slight pain was observed intermittently during coughing in four patients.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Analgesia, Epidural*
  • Anesthesia, General
  • Anesthesia, Spinal
  • Bupivacaine / administration & dosage
  • Colectomy
  • Female
  • Humans
  • Lidocaine
  • Male
  • Middle Aged
  • Morphine / administration & dosage
  • Pain, Postoperative / prevention & control*
  • Piroxicam / therapeutic use

Substances

  • Piroxicam
  • Morphine
  • Lidocaine
  • Bupivacaine