THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
Journal Symposium (3)
Postoperative Pain Management by Epidural Infusion of Levobupivacaine
Osamu TAKAHATA
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JOURNAL FREE ACCESS

2010 Volume 30 Issue 1 Pages 131-138

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Abstract
  I discuss here the efficacy of epidural analgesia for postoperative pain management. Epidural analgesia has been reported to be useful for postoperative pain management in patients who have undergone abdominal surgery with medium to high risk. Levobupivacaine, which was recently introduced into clinical practice in Japan, has a long duration of action and a lower affinity for motor nerves than that of bupivacaine. Therefore, I evaluated the efficacy of epidural infusion of levobupivacaine on postoperative pain management in patients who underwent abdominal surgery. Six ml/hr of continuous epidural infusion of 0.25% levobupivacaine showed adequate analgesia without any motor blockage for postoperative pain management in patients who underwent upper abdominal surgery. Epidural infusion of 0.25% levobupivacaine may be useful for postoperative pain management in patients who have undergone upper abdominal surgery.
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© 2010 by The Japan Society for Clinical Anesthesia
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