[Postoperative fentanyl analgesia by the epidural route].

A Lomessy, J P Viale, J Motin
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Abstract

The analgesic action of fentanyl administered by epidural injection in a dose of 0.2 mg diluted in 10 ml of physiological saline proved to be satisfactory in 21 patients who had undergone abdominal surgery. The mean duration of analgesia was 6 hours. The subjective improvement was associated with an increase in V.C. (congruent to 30%) and good tolerance of postoperative chest physiotherapy. Despite the absence of respiratory depression, the existence of drowsiness is suggestive of central impregnation the degree and role of which remain to be defined.

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[术后硬膜外芬太尼镇痛]。
经硬膜外注射芬太尼0.2 mg,稀释生理盐水10 ml,对21例腹部手术患者的镇痛效果满意。平均镇痛时间为6小时。主观改善与静脉曲张增加(约30%)和术后胸部物理治疗的良好耐受性相关。尽管没有呼吸抑制,但嗜睡的存在提示中枢浸渍,其程度和作用仍有待确定。
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