Alliaume B, Jehoul F, Hente K, Evenepoel M C, Morelle V, Vandenbroucke G
Département d'Anesthésie et de Soins Intensifs, Onze-Lieve-Vrouw Ziekenhuis, Aalst, Belgique.
Acta Urol Belg. 1993 Sep;61(3):1-5.
Postoperative pain is an important issue after major urological surgery. Efficient analgesia is mandatory. The administration of i.m. narcotics is considered routine. This technique, however, has some disadvantages due to the pharmacology and pharmacokinetics of the drugs used. In our institution, we recently introduced a new technique: the patient controlled epidural analgesia. A computerized pump administers a continuous infusion of a mixture local anaesthetic/narcotic through a peroperatively placed epidural catheter. This pump also allows patients to administer themselves additional boluses according to their needs. Sixty-two urological patients used this system to their own satisfaction and the satisfaction of the nursing and medical staff. This new approach of postoperative pain relief is discussed.
术后疼痛是泌尿外科大手术后的一个重要问题。有效的镇痛是必不可少的。肌肉注射麻醉药的给药方式被视为常规方法。然而，由于所用药物的药理学和药代动力学特性，这种技术存在一些缺点。在我们机构，我们最近引入了一种新技术：患者自控硬膜外镇痛。一台电脑控制的泵通过术中放置的硬膜外导管持续输注局部麻醉药/麻醉性镇痛药的混合液。该泵还允许患者根据自身需要自行追加推注剂量。62例泌尿外科患者使用该系统后，患者自身以及护理和医务人员都感到满意。本文讨论了这种术后疼痛缓解的新方法。
