Epidural fentanyl, adrenaline and clonidine as adjuvants to local anaesthetics for surgical analgesia: meta-analyses of analgesia and side-effects.

Author: CuratoloM, Petersen-FelixS, ScaramozzinoP, ZbindenA M

Paper Details 
Original Abstract of the Article :
BACKGROUND: The risk/benefit ratio of adding fentanyl, adrenaline and clonidine to epidural local anaesthetics for improving intraoperative analgesia is unclear. This meta-analysis was performed to clarify this issue. METHODS: Trials retrieved by search were considered if they were prospective, con...See full text at original site
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引用元:
https://doi.org/10.1111/j.1399-6576.1998.tb05349.x

データ提供:米国国立医学図書館(NLM)

Epidural Analgesia for Surgery: Exploring the Benefits and Risks of Adjuvants

This research examines the use of fentanyl, adrenaline, and clonidine as adjuvants to local anesthetics for epidural analgesia during surgery. Think of it as a chemist carefully mixing different ingredients to create a more potent and effective pain relief solution. The researchers are exploring the potential benefits and risks of adding these adjuvants to epidural analgesia, seeking to improve pain management during surgery while minimizing side effects.

Fentanyl: An Effective Pain Relief Agent

The meta-analysis suggests that adding fentanyl to epidural analgesia is safe and effective in reducing pain during surgery. Think of it as a powerful pain relief potion that can make a big difference in the patient's experience. The research indicates that fentanyl effectively reduces pain, but it can also increase the risk of pruritus (itching) and sedation. However, fentanyl does not appear to have a significant impact on respiratory depression, nausea, vomiting, or the Apgar score of newborns.

The Need for More Research on Adjuvants

This research highlights the need for more research on the use of adrenaline and clonidine as adjuvants in epidural analgesia. Think of it as continuing the exploration of the desert of pain management, seeking to uncover new and more effective treatments. The study calls for more robust research to determine the efficacy and safety of these adjuvants, potentially leading to improved pain management and better outcomes for patients undergoing surgery.

Dr.Camel's Conclusion

This research is a valuable guide through the desert of surgical pain management. The study suggests that fentanyl can be a safe and effective adjuvant for epidural analgesia, offering a potentially better experience for patients undergoing surgery. However, more research is needed to fully understand the benefits and risks of adrenaline and clonidine as adjuvants in this context. Like a camel navigating a complex and ever-changing landscape, researchers continue to seek new and better ways to manage pain during surgery.

Date :
  1. Date Completed 1998-12-28
  2. Date Revised 2019-08-14
Further Info :

Pubmed ID

9773134

DOI: Digital Object Identifier

10.1111/j.1399-6576.1998.tb05349.x

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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