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Potentiation of epidural opioids with epidural droperidol
Author(s) -
Bach V.,
Carl P.,
Ravlo O.,
Crawford M. E.,
Werner M.
Publication year - 1986
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1986.tb12959.x
Subject(s) - medicine , droperidol , anesthesia , epidural administration , sedation , epidural space , opioid , fentanyl , bupivacaine , receptor
Summary During a period of one year, 119 patients with chronic pain received injections of opioids via a catheter inserted in the lumbar epidural space. Twenty‐three patients (19%) showed evidence of tolerance and were given droperidol 1.25–5.0 mg epidurally. In 20 patients in this study, there was a significant reduction in the number of epidural opioid injections. Six patients complained of excessive sedation, which disappeared when the dose of droperidol was reduced, although this did not affect the analgesia. One patient given an accidental overdose of droperidol developed reversible Parkinsonism. It is concluded that epidural administration of the dopamine antagonist droperidol may be beneficial as supplementary medication to epidural opioids when tolerance develops.