Dicaline in Postoperative Epidural Analgesia

Objective To explore the effect and adverse effect of using 0.1% dicaine with tramadol and dexamethasone in postoperative epidural analgesia.Method 300 cases of the safety and danger evaluation standards of operation and aesthesia established by American Society of Anesthesia(ASA)1-2 grades were divided into Low(L),Middle(M),High(H) groups according to epidural puncture space.There was 100 cases in each group.0.1% dicaine(100ml)with tramadol(6mg/ml) and dexame thasone(10mg)were used by continual pump infusion(2ml/h) in postoperative epidural analgesia.The analgesic effect within 48 hours after operation were observed.The two evaluation methods were visual analogue score(VAS) and satisfaction degree of patient self-assessment.The adverse effects including nausea、vomiting、lower limb numbness、headache and pruritus within two days after operation were observed.Results There were satisfactory effects in all groups.The adverse effect of nausea and vomiting occurred in every group with one patient.Two patients appeared half lower limb numbness in L group.Conclusion The use of 0.1% dicaine with tramadol and dexamethasone in postoperative epidural analgesia is safe and effective.The adverse effcct is little.