Comparison of anileridine and pethidine in patients with pain following upper abdominal surgery.

Abstract

The analgesic potency of anileridine compared with pethidine was found to be 4:1 by measuring the effect on withdrawal movements resulting from pinching of the skin or surgery during N2O + O2 anaesthesia. The potency ratio was examined postoperatively as well. Sixty patients who had undergone upper abdominal surgery with standard anaesthesia were studied in a double-blind, between-patient two dose comparison. Each patient and an observer graded the degree of pain relief. Here again, anileridine proved 4 times as potent as pethidine. With higher doses the response to anileridine was of shorter duration than was the response to pethidine. Respiratory depression was very similar after equianalgesic doses. Blood pressure and pulse rate remained stable. The total incidence of side effects was higher after pethidine.

• Authors: M Tuominen
• Journal: Annales chirurgiae et gynaecologiae (Ann Chir Gynaecol) Vol. 65 Issue 3 Pg. 207-15 ( 1976) ISSN: 0355-9521 [Print] Finland
• PMID: 786135 (Publication Type: Clinical Trial, Comparative Study, Controlled Clinical Trial, Journal Article, Randomized Controlled Trial)

Chemical References

• Isonipecotic Acids
• Meperidine

Topics

• Abdomen (surgery)
• Adult
• Aged
• Blood Pressure (drug effects)
• Clinical Trials as Topic
• Drug Evaluation
• Female
• Humans
• Isonipecotic Acids (adverse effects, therapeutic use)
• Male
• Meperidine (adverse effects, therapeutic use)
• Middle Aged
• Pain, Postoperative (drug therapy)
• Pulse (drug effects)
• Respiration (drug effects)