Oriol-López SA, Hernández-Bernal CE, Rodríguez-Rosales A

Language: Spanish
References: 25
Page: 85-92
PDF size: 145.84 Kb.

ABSTRACT

The use of epidural opioid in regional anesthesia is occasional, which leads to the use of rescue doses of epidural anesthetic and intravenous drugs to sedate the patient. Numerous studies have compared the efficacy of sufentanyl against fentanyl via epidural in obstetric and postoperative analgesia, the first being five times more potent (epidural dose 21 µg); however, there are no significant differences. Methodology: Compare the anesthesia with lidocaine and sufentanyl (20 µg) contrasted with lidocaine + fentanyl (50 µg) in 70 patients for lower limbs surgery (orthopedics), measuring the amount of local anesthetic, opioid, benzodiazepines, atropine, ephedrine, as well as heart rate, systolic blood pressure, diastolic and mean, the Bromage and diffusion level obtained. Results: Hemodynamic stability is similar in both groups, the differences were found in the use of subsequent local anesthetic, number of doses, epidural opioid, benzodiazepines and intravenous opioid, even when sufentanyl´s dose is less than the reported as useful in this way.

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