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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Anest. neodkl. Péče, 11, 2000, No. 6, p. 259–261 |
Bupivacaine versus Bupivacaine-fentanyl in Brachial Plexus Block for Postoperative Analgesia PRZEWŁOCKI I., MÁJEK M., PRZEWŁOCKA V. KAIM, Fakultná NsP ak. L. Dérera, Bratislava, vedúci doc. MUDr. M. Májek, CSc. |
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Summary: Analgetic effect of plain bupivacaine 0.2% vs. bupivacaine-fentanyl was assessed in brachial plexus block. In the first group, thirty millilitres of
bupivacaine 0.2% with fentanyl 3 mg/ml were administered via the catheter every 8 hours; the other group received bupivacaine 0.2% in the same
regimen. Analgesia was assessed according to visual analogue pain score (VAPS) during 72-hour postoperative period. Significantly better analgesia
was achieved in bupivacaine-fentanyl group starting postoperative hour 9, in spite of higher supplemental doses of analgetics in the non-fentanyl group.
From the results we can draw a conclusion that fentanyl addition to analgetic concentration of bupivacaine for brachial plexus block is warranted.
The quality of analgesia produced is better, requiring for less supplemental doses of other analgetics.
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