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Pharmacy World and Science

, Volume 16, Issue 1, pp 7–12 | Cite as

Epidural fentanyl and sufentanil for intra- and postoperative analgesia

A randomized, double-blind comparison
  • A. J. Wilhelm
  • H. G. Dieleman
Articles

Abstract

In a double-blind, randomized study the efficacies of concentrated fentanyl and sufentanil injections as intraoperative epidural analgesics were compared. Also, the equivalent dose of fentanyl and sufentanil administered by continuous infusion during the first. 24 h postoperatively, expressed in analgesia and also considering the side-effects was determined. 53 Patients undergoing elective thoracotomy, aortic surgery and bowel surgery were randomized and treated double-blind with fentanyl 0.250 mg/ml or sufentanil 0.05 mg/ml. Preoperatively, 0.5–1 ml study medication was administered, followed by increments of 0.2–0.5 ml during surgery guided by heart rate and systolic: blood pressure. Postoperatively, study medication diluted in 1.25 mg/l bupivacaine was administered by continuous epidural infusion. The infusion rate was adjusted to optimize analgesia. Dose, heart rate and systolic: blood pressure were measured infra- and postoperatively. Pain, sedation, nausea and pruritus were assessed on a 10 cm visual analogue scale. There were no differences in required volume of study medication, heart rate and systolic blood pressure nor in the parameters assessed postoperatively. Administered doses were 27.5μg/h fenlanyl and 5.5μg/h sufentanil. It was concluded that 0.250 mg/ml (0.74μmol/ml) fentanyl is clinically equivalent to 0.050 mg/ml (0.13 μmol/ml) sufentanil.

Keywords

Administration, epidural Adverse effects Analgesia Clinical trials Fentanyl Pain, postoperative Sufentanil 

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Copyright information

© Royal Dutch Association for Advancement of Pharmacy 1994

Authors and Affiliations

  • A. J. Wilhelm
    • 1
  • H. G. Dieleman
    • 1
  1. 1.Hospital PharmacyMerwede HospitalAH Dordrechtthe Netherlands

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