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Computerised Alfentanil Infusion in Postoperative Analgesia

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Computing and Monitoring in Anesthesia and Intensive Care

Abstract

Postoperative analgesia is often provided with a continuous intravenous infusion of morphine with the infusion rate altered by the nursing staff as required. However, the time to the peak effect of an intravenous bolus dose of morphine is about 15–20 minutes. A change in the infusion rate of morphine will therefore not achieve its full effect for a considerable period of time, Alfentanil has the main benefit over morphine of rapid onset of action but it also has the disadvantage that it is also rapidly eliminated and re-distributed. Administration by patient controlled analgesia (PCA) has not proved satisfactory [1, 2] and some type of continuous alfentanil infusion is necessary to provide postoperative analgesia.

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References

  1. Kay B. Postoperative pain relief. Use of an on-demand analgesia computer (ODAC) and a comparison of the mode of use of fentanyl and alfentanil. Anaesthesia 1981; 36: 949–951

    Article  PubMed  CAS  Google Scholar 

  2. Welchew EA, Hosking J. Patient- controlled postoperative analgesia with alfentanil. Adaptive, on-demand intravenous alfentanil or pethidine compared double-blind for postoperative pain. Anaesthesia 1985;40: 1172–1177

    Article  PubMed  CAS  Google Scholar 

  3. Kenny GNC and White M. A portable computerized infusion system for propofol. Anaesthesia 1990;45: 692–693

    Article  PubMed  CAS  Google Scholar 

  4. Maitre PO, Vozeh S, Heykants J, Dick TA, Stanski DR. Popuration pharmacokinetics of alfentanil: the average dose-plasma concentration relationship and interindividual variability in patients. Anesthesiology 1987; 66: 3–12

    Article  PubMed  CAS  Google Scholar 

  5. Andrews CJH, Sinclair M, Prys-Roberts C, Dye A,. Ventilatory effects during and after continuous infusion of fentanyl or alfentanil. Br. J. Anesth. 1983; 55: 211s–216s

    Google Scholar 

  6. Owen H, Brose WG, Plummer JL, Mather LE. Variables of patient-controlled analgesia. 3: test of an infusion-demand system using alfentanil. Anaesthesia. 1990; 45: 452–455

    Article  PubMed  CAS  Google Scholar 

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© 1992 Springer-Verlag Tokyo

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Kenny, G.N., Davies, F.W., White, M. (1992). Computerised Alfentanil Infusion in Postoperative Analgesia. In: Ikeda, K., Doi, M., Kazama, T., Sato, K., Oyama, T. (eds) Computing and Monitoring in Anesthesia and Intensive Care. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68201-1_34

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  • DOI: https://doi.org/10.1007/978-4-431-68201-1_34

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68203-5

  • Online ISBN: 978-4-431-68201-1

  • eBook Packages: Springer Book Archive

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