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British Journal of Anaesthesia, 1992, Vol. 69, No. 6 554-557
© 1992 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

HYPOXAEMIA AND PAIN RELIEF AFTER LOWER ABDOMINAL SURGERY: COMPARISON OF EXTRADURAL AND PATIENT-CONTROLLED ANALGESIA

T. H. MADEJ, F.R.C.ANAES.*, R. G. WHEATLEY, F.R.C.ANAES., I. J. B. JACKSON, F.R.C.ANAES. and D. HUNTER, R.G.N.

Department of Anaesthesia, York District Hospital Wigginton Road, York YO3 THE

*Correspondence to T.H.M.

We have examined postoperative pain in patients allocated randomly to receive extradural bolus diamorphine 3.6 mg, extradura I infusion of 0.15% bupivacaine with 0.01% diamorphine or patient-controlled i.v. administration of diamorphine at a maximum rate of 1 mg per 5 min, after total abdominal hysterectomy. Extradural infusion analgesia produced the smallest pain scores from 12 to 24 h after surgery (P < 0.05). More patients in the extradural infusion group were moderately hypoxaemic (SpOl < 90% ngt 12 min h–1) after operation, compared with the two other groups (P < 0.05). The group using patient-controlled analgesia received more diamorphine and suffered a greater incidence of emetic sequelae (P < 0.05).


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