Introducing ropivacaine into a department’s epidural analgesic practice. Improving acute pain service practice

T.J. Towell (Clinical Nurse Specialist based at the Glenfield Hospital NHS Trust UHL, Leicester, UK)
S. Maric (Acute Pain Sister based at the Glenfield Hospital NHS Trust UHL, Leicester, UK)
M. Jones (Consultant, Anaesthetist Acute Pain Service based at the Glenfield Hospital NHS Trust UHL, Leicester, UK)
R. Wyatt (Consultant, Anaesthetist Acute and Chronic Pain Service, based at the Glenfield Hospital NHS Trust UHL, Leicester, UK)
D.J.R. Duthie (Senior Lecturer, University of Leicester, and a Consultant Anaesthetist, at the Glenfield Hospital NHS trust UHL, Leicester, UK)

British Journal of Clinical Governance

ISSN: 1466-4100

Publication date: 1 December 2000

Abstract

The results of introducing a new licensed local anaesthetic drug, ropivacaine, into routine practice were evaluated by measuring the efficacy and adverse effects of patient controlled epidural analgesia (PCEA), using ropivacaine 2mg/ml (R), or the mixtures in current use: fentanyl 5 (μg/ml with bupivacaine 1mg/ml (BF5) and fentanyl 10 (μg/ml) with bupivacaine 1mg/ml (BF10). All patients were nursed on general wards after surgery. For two months, 102 consecutive patients were studied. Pain scores at rest were significantly better in the fentanyl and bupivacaine groups, (mean rank R: 35.5, BF5: 22.7, BF10: 26.9, P<0.05). There was a significant correlation between patient controlled boluses and pain at rest and (p < 0.001), and pain on moving (p < 0.001). Nausea and vomiting was worse in the BF10 (p < 0.05). Older patients demanded less analgesia (p < 0.001). Postoperatively BF5 provided better pain relief with trends demonstrating fewer side‐effects and complications than BF10 or R. We now use fentanyl 5 (μg/ml and bupivacaine 1mg/ml as our standard epidural infusion mixture.

Keywords

Citation

Towell, T., Maric, S., Jones, M., Wyatt, R. and Duthie, D. (2000), "Introducing ropivacaine into a department’s epidural analgesic practice. Improving acute pain service practice", British Journal of Clinical Governance, Vol. 5 No. 4, pp. 217-221. https://doi.org/10.1108/14664100010361836

Download as .RIS

Publisher

:

MCB UP Ltd

Copyright © 2000, MCB UP Limited

Please note you might not have access to this content

You may be able to access this content by login via Shibboleth, Open Athens or with your Emerald account.
If you would like to contact us about accessing this content, click the button and fill out the form.
To rent this content from Deepdyve, please click the button.