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2003, Number 2

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Rev Mex Anest 2003; 26 (2)

Buprenorfina vs Fentanyl peridural en cirugía electiva en pacientes con cáncer cérvico-uterino.

Torres HRM

Language: Spanish
References: 9
Page: 80-82
PDF size: 109.81 Kb.


ABSTRACT

Aim of the study: Evaluate the analgesic efects of buprenorphine compared to eperidural fentanyl for postoperative pain control patients in hieterctomy using eperidural block. Study design: Controlled clinical trial. Material and methods: Thirty patients were divided in patients undergoing 2 groups. Group I (n=15) Buprenorphine and group II (n=15) Fentanyl. Ages 35 to 70, grades II and III according the American Society of Anestesiology. Anestesical technique eperidural block, L1-L2 with 300 mg. 2% Lidocaine with epinefrine. Buprenorphine was used 150 mcg for group I and Fentanyl 50 mcg for group II after the surgical procedure. Results: Significant differences were noted in analgesic effects provided by buprenorphine in the postoperative period (p ‹ 0.001). Conclusions: The analgesic effects the buprenorphine was compared to the Fentanyl is superior concerning time and analgesic quality with minimal side effects.


REFERENCES

  1. Greebelt DJ, Shadier RI, Harmatz JS. Benzodiazepinas: A summary of farmacological properties, Br J Clin Pharmacol 1981; II: 125-26.

  2. González BI, Cuanca DJ, Analgesia epidural postoperatoria comparando buprenorfina-fentanyl. Rev. Mex. Anest. 1996; 19: 10-15.

  3. Roas RA y Viller JW. Clinical actions of fentanyl and buprenorphine: the significance of the receptor. Br J Anaesth 1985; 57: 192-96.

  4. Bayley PL, Stanley HT. Capítulo 10 en: Miller DR. Anestesia. 2ª ed. 1998, Baecelona, España, Ed Doyma: 253-310.

  5. Duthie DJR and Nima WS Adverse effects of opioid analgesic drugs. Br J Anesth 1997; 59: 67-77.

  6. Stostrom S, Hartving P, Persson MP, Tamson A, Pharmacokinetics of epidural morphine an meperidine in humans. Anesthesiology, 1987; 67: 877-888.

  7. Anguiano GM, Gutiérrez ME, Pérez FA. Analgesia post-operatoria con buprenorfina en aplicación pre-anestésica. Rev. Mex. Anest. 1995; 18: 121-24.

  8. Makoto T y cols. Minum effective combination dose of epidural morphine and fentanyl for posthysterectomy analgesia: A randomized, prospective, double-blind study. Anesth. Analg. 1993; 77: 492-96.

  9. Nava LE, Hernández FB, Bermúdez OM, Blanco GB, Dickter CS. Analgesia epidural post-operatoria en bolo buprenorfina vs fentanyl en pacientes ginecológicas y obstetricas. Rev. Mex Anest. 1995; 18: 176-188




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