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2003 FEB 6 - (NewsRx.com & NewsRx.net) -- According to a study from Germany, researchers "surveyed current German practice in postoperative epidural analgesia (EA). Of 300 questionnaires sent anonymously, 147 (49%) were returned fully completed. A 24 hour acute pain service (APS) was offered in 41% of German hospitals."
"Seventy percent of the large teaching hospitals (>1000 beds) offered an APS, whereas just 9% of the hospitals of
"In the general ward setting, 36% of the respondents used plain LA, and 64% combined the LA with an opioid. If ropivacaine was used, 0.2% was the most popular concentration (78%), combined with morphine (17%), fentanyl (14%), or sufentanil (75%). If bupivacaine was used, 0.25% was the preferred concentration (30%), combined with morphine (40%), fentanyl (8%), or sufentanil (60%)," said S. Kampe and colleagues, University of Cologne, Department of Anesthesiology and Intensive Care Medicine.
"On wards, 58% of German anesthetic departments used continuous epidural infusion, 57% bolus doses, and 20% patient-controlled EA mode. We conclude that the availability of a 24 hours APS (41%) in German hospitals ...
Source: HighBeam Research, Study accounts postoperative practices for pain relief in Germany.