Continuous Epidural Analgesia in the Perioperative Period

  • L. Varga
Part of the Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine book series (A+I, volume 144)


A single injection of epidural bupivacaine (1 mg/kg, i.e. 14 ml bupivacaine 0.5% in an adult) in combination with morphine (2 mg, diluted in saline, total volume: 5 ml), given preoperatively, provides surgical anaesthesia and prolonged postoperative analgesia (mean duration: 36 hours) for operations in the lower part of the body. It is not necessary to insert an epidural catheter. The incidence of side-effects and complications is low. Improved pain-reduction and prolonged action after a combination of local anaesthetics and opiates, given epidurally, may be due to a synergism between both classes of drugs.


Epidural Catheter Postoperative Analgesia Epidural Morphine Epidural Injection Postoperative Pain Relief 
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© Springer-Verlag Berlin Heidelberg 1982

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  • L. Varga

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