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Peridural way: comparison between administration modalities

Author(s): B. Gedaliahu Samolsky-Dekel | C. Moretti | F. Sangiorgi | R. M. Melotti | G. Di Nino

Journal: Pathos : Trimestrale di Algologia
ISSN 1593-2354

Volume: 14;
Issue: 1;
Start page: 11;
Date: 2007;
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Keywords: Perioperative analgesia | Acute Pain Service | AOCP | Epidural route | Local anaestetic | Opioids | Continuous administration | Intermittente boluses administration | Patient Controlled Epidural Analgesia

Pain control in the peri-operative period allows improvement of the patients’ quality of life, reduces the occurrence of complications and allows a faster post-operative recovery. The correct administration of analgesics is an essential element for the formulation and the maintenance of a suitable treatment. The present study compares the continuous modality and that of the intermittent boluses for the administration of analgesic solutions via epidural route. Our fi ndings suggest that both modalities are efficient in the control of the perioperative pain of patients with Chronic Obstructive Peripheral Arteropathy.Nevertheless, since the scheme of boluses administration requires a major organizational burden, the introduction of Patient Controlled Epidural Analgesia (PCEA) is recommended.
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