Evaluation of Backpain after Continuous Epidural Analgesia by Pressure Algometer

지속적 경막외진통법후 Pressure Algometer에 의한 요통의 평가

  • Kwon, Young-Eun (Department of Anesthesiology, Presbyterian Medical Center) ;
  • Park, Seong-Hee (Department of Anesthesiology, Presbyterian Medical Center) ;
  • Kim, In-Ryeong (Department of Anesthesiology, Presbyterian Medical Center) ;
  • Lee, Jun-Hak (Department of Anesthesiology, Presbyterian Medical Center) ;
  • Lee, Ki-Nam (Department of Anesthesiology, Presbyterian Medical Center) ;
  • Moon, Jun-Il (Department of Anesthesiology, Presbyterian Medical Center)
  • Published : 1996.11.23

Abstract

Background: Recently postoperative pain control with continuous epidural analgesia has been increased. This study aimes to evaluate backpain following continuous epidural analgesia by pressure threshold meter (algometer). Methods: After informed consent, 50 ASA physical status I or II patients undergoing elective gynecologic surgery were selected. After placing epidural catheter, patients received morphine 0.05mg/kg with 0.25% bupivacaine 5 ml followed by continuous infusion of 0.125% bupivacaine 100 ml with morphine 4 mg for 48 hours. backpain was measured by pressure algometer over lumbar paraspinalis at the L4 level, 5 and 7 cm from the midline on preoperative, operation day, 1st, 2nd, 3rd, and 4th postoperative days. Results: Postoperative mean pressure thresholds of were higher than preoperative value (p<0.05). Conclusion: The continuous epidural analgesia dose not provide or aggravate postoperative backpain, but it must be evaluated for long term follow-up.

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