Open AccessIntravenous Lignocaine–Fentanyl Versus Epidural Ropivacaine–Fentanyl for Postoperative Analgesia After Major Abdominal Oncosurgery: A Pilot Prospective Randomised Study
Author(s) -
Rudranil Nandi,
Seema Mishra,
Rakesh Garg,
Vinod Kumar,
Nishkarsh Gupta,
Sachidanand Jee Bharati,
Sushma Bhatnagar
Publication year - 2021
Publication title -
turkish journal of anaesthesiology and reanimation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 12
eISSN - 2667-677X
pISSN - 2667-6370
DOI - 10.5152/tjar.2020.23326
Subject(s) - fentanyl , medicine , anesthesia , ropivacaine , analgesic , bolus (digestion) , opioid , sedation , surgery , receptor
Epidural injection of local anaesthetics and intravenous opioid injection are two common analgesic strategies following major abdominal oncosurgery. However, epidural local anaesthetics may cause haemodynamic instability while opioid injection is associated with sedation and postoperative ileus. Intravenous lignocaine is also used for postoperative analgesia, and combined use of opioids plus lignocaine can reduce the doses and adverse effects of the individual drugs. This study therefore compared the analgesic efficacy of intravenous lignocaine-fentanyl (IV) to epidural ropivacaine-fentanyl (EPI) after major abdominal oncosurgery.