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| Viewing Page 1 of 1 (Total Posts: 10) |
| Author | Comment |
drena taylor
 Oct 9, 07 - 12:17 PM |
strenghth of pre addedd fentanyl mix
I wonder what strength of pre added fentanyl /bupivicaine mix hospitals are using for General Surgical patients including colorectal and vascular patients.We currently use the 2 mcg/ml with bupivicaine 0.1% and were looking to change over to the 5 mcg/ml with bupivicaine 0.1% |
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Jayne Grant
Oct 9th, 2007 - 2:46 PM |
Re: strenghth of pre addedd fentanyl mix
We use 2mcg Fentanyl with 0.125% Bupiviacaine, for all our general surgical patients and we have found this to be very effective and have had few opioid related side effects. |
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Glenn,
Oct 9th, 2007 - 4:31 PM |
Re: strenghth of pre addedd fentanyl mix
0.1% & 2mcg/ml (running @ 7-15mls/hr) for us down here in Somerset. |
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Ros
Oct 10th, 2007 - 3:57 PM |
Re: strenghth of pre addedd fentanyl mix
We use 0.125% with fentanyl 2mcg/ml Ros. |
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Simon Higgs
Oct 15th, 2007 - 12:14 PM |
Re: strenghth of pre addedd fentanyl mix
We use 0.1% levobupivacaine with 2mcgs fentanyl for the majority of patients. On ocassion we use 0.1% bupivacaine with 5mcgs fentanyl. The 5mcgs are used less frequently and usually stepped down to 2mcgs within 48hrs to prevent side effects. (We have had mild auditory and visual hallucinations in patients with 5mcgs at 8-12mls/hr when they approach the 72hour period. |
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Barbara
Oct 16th, 2007 - 9:00 AM |
Re: strenghth of pre addedd fentanyl mix
We use 0.125% and 2mcg/ml here in Crewe. We do allow 4mcg/ml but I have not known anyone to use it. 
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Charly
Oct 16th, 2007 - 12:43 PM |
Re: strenghth of pre addedd fentanyl mix
Hi Drena, We use 4mcgs fentanyl and 0.125%. A couple of our anaesthetists feel this is too strong as a few patients become nauseous or confused on day 2 or 3. Also we feel having 2 different strengths is just asking for trouble! Cx 
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Dee
Oct 16th, 2007 - 1:39 PM |
Re: strenghth of pre addedd fentanyl mix
0.1% and 2mcg/ml here in Swindon (rate 4-12ml - auditing at present to maybe increase max rate) |
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sarah coulling
Oct 16th, 2007 - 3:38 PM |
Re: strenghth of pre addedd fentanyl mix
You'd have to do a systematic search for the latest evidence but i believe you should find, for post-operative epidural analgesia, combinations of bupivacaine 0.1% and fentanyl 4% and adrenaline (epinephrine) are superior. However...they arn't the cheapest! There's a conference next month debating the topic, advertised here (www.STAPG.org) BTW NPSA alert21 (March 07)recommends Trusts just use one strength to avoid risks. Sarah |
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amanda
Oct 24th, 2007 - 2:37 AM |
Re: strenghth of pre addedd fentanyl mix
we use a fentanyl 2mcgs/ml and 0.15% bupivocaine infusion.infusion rate 0-15mls/hr, average rate 8mls,but usually less for elderly patients(4mls/hr). bolus dose 5mls. we are not yet useing patient controlled epidurals |
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