Postoperative Analgesia by Caudal Nalbuphine HCL

Nalbuphine 천골강내 주입에 의한 술후 제통효과

  • Shin, Jung-Soo (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Lee, Kyung-Min (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Oh, Hung-Kun (Department of Anesthesiology, Yonsei University College of Medicine)
  • 신증수 (연세대학교 의과대학 마취과학교실) ;
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 이경민 (연세대학교 의과대학 마취과학교실) ;
  • 오흥근 (연세대학교 의과대학 마취과학교실)
  • Published : 1990.06.18

Abstract

Epidural injection of narcotics for postoperative pain relief has been well reported. Caudal nalbuphine was assessed as a postoperative analgesic in a randomized double blind study of 80 patients after perianal surgery. Caudal block was carried out with 1.5% lidocaine 25 ml (Group 1) in 20 patients, and mixed with nalbuphine 3 mg (Group 2) in 20 patients, nalbuphine 5 mg (Group 3) in 20 patients, and nalbuphine 10 mg (Group 4) in 20 patients. Pain relief was evaluated by the subsquent need for systemic analgesics (Pethidine). In group 4, the use of systemic analgesics was significantly reduced for the first 24 hours postoperatively. Urinary retention was not correlated with nalbuphin dose.

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