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BIOAVAILABILITY AND EFFICACY OF OPIOID USE WITH EPIDURAL BLOCKADE

Authors :
Aynagul Zh. Bayalieva
J. N Yankovich
Source :
Regional Anesthesia and Acute Pain Management. 12:76-81
Publication Year :
2018
Publisher :
ECO-Vector LLC, 2018.

Abstract

The article is devoted to the questions of epidural analgesia with the use of opioid analgesics. The work analyzes the clinical effectiveness of epidural use of opioids, lists possible complications and cautions of this method of anesthesia. Bioavailability of morphine and fentanyl for the spinal cord with epidural administration allows to achieve analgesic effects at a certain block level more effectively than with systemic administration. However, the side effects of opioids in the form of respiratory depression are also found with epidural administration (3%), so patient safety monitoring is necessary.

Details

ISSN :
19936508
Volume :
12
Database :
OpenAIRE
Journal :
Regional Anesthesia and Acute Pain Management
Accession number :
edsair.doi...........1af44955529e0b860da8fdbab466ceb6
Full Text :
https://doi.org/10.18821/1993-6508-2018-12-2-76-81