| The Effect of Analgesic Technique on Recovery of Patients after Colon Surgery. |
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Kyou Chul Han, Soo Chang Son |
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Department of Anesthesiology, College of Medicine, Chungnam University, Daejeon, Korea. |
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| Abstract |
BACKGROUND
Different types of analgesia may affect the rate of recovery of gastrointestinal function after colon surgery.
METHODS
Sixty-six patients undergoing colon surgery which including right and left hemicolectomy, anterior resection and Miles` operation were categorized into four groups. All groups received a general anesthesia. Control group, in surgical ward the patients received adjuvant analgesics on request postoperatively. Group M received a intraoperative bolus epidural morphine followed by an infusion of morphine.
Group MB received a intraoperative bolus of epidural morphine followed by an infusion of bupivacaine and morphine. Group PCA received a intraoperative bolus of intravenous morphine followed by patient- controlled morphine postoperatively.
RESULTS
Ambulation, oral feeding and duration of hospitalization were not differed among groups. Group MB, recovered gastrointestinal function approximately 30 hours earlier than Group PCA (p<0.05).
CONCLUSION
Epidural analgesia with bupivacaine and morphine accelerated postoperative recovery of gastrointestinal function. |
| Key Words:
Analgesia: pain; patient-controlled; postoperative; Analgesics: epidural; morphine; Anesthetics, local: bupivacaine |
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