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Fast Track Liver Resection : The Effect of a Comprehensive Care Package and Analgesia with Single Dose Intrathecal Morphine with Gabapentin or Continuous Epidural Analgesia
المؤلفون المشاركون
Koea, Jonathan B.
Gunn, Kerry
Young, Yatin
المصدر
العدد
المجلد 2009، العدد 2009 (31 ديسمبر/كانون الأول 2009)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2009-12-15
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
A comprehensive care package for patients undergoing hepatectomy was developed with the aim of minimal physiological disturbance in the peri-operative period.
Peri-operative analgesia with few gastrointestinal effects and reduced requirement for intravenous (IV) fluid therapy was central to this plan.
Methods.
Data on 100 consecutive patients managed with continuous epidural infusion (n = 50; bupivicaine 0.125% and fentanyl 2 μg/mL at 0.1 mL/kg/hr) or intrathecal morphine (n = 50; 300 μg in combination with oral gabapentin 1200 mg preoperatively and 400 mg bd postoperatively) was compared.
Results.
The epidural and intrathecal morphine groups were equivalent in terms of patient demographics, procedures and complications.
Patients receiving intrathecal morphine received less intra-operative IV fluids (median 1500 mL versus 2200 mL, P=.06), less postoperative IV fluids (median 1200 mL versus 4300 mL, P=.03) than patients receiving epidural infusion.
Patients managed with intrathecal morphine established a normal dietary intake sooner (16 hours versus 20 hours, P=.05) and had shorter hospital stays than those managed with epidural infusions (4.7 ± 0.9 days versus 6.8 ± 1.2 days, P=.02).
Conclusions.
Single dose intrathecal morphine is a safe and effective means of providing peri-operative analgesia.
Patients managed with intrathecal morphine have reduced peri-operative physiological disturbance and return home within a few days of hepatic resection.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Koea, Jonathan B.& Young, Yatin& Gunn, Kerry. 2009. Fast Track Liver Resection : The Effect of a Comprehensive Care Package and Analgesia with Single Dose Intrathecal Morphine with Gabapentin or Continuous Epidural Analgesia. HPB Surgery،Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-459252
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Koea, Jonathan B.…[et al.]. Fast Track Liver Resection : The Effect of a Comprehensive Care Package and Analgesia with Single Dose Intrathecal Morphine with Gabapentin or Continuous Epidural Analgesia. HPB Surgery No. 2009 (2009), pp.1-8.
https://search.emarefa.net/detail/BIM-459252
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Koea, Jonathan B.& Young, Yatin& Gunn, Kerry. Fast Track Liver Resection : The Effect of a Comprehensive Care Package and Analgesia with Single Dose Intrathecal Morphine with Gabapentin or Continuous Epidural Analgesia. HPB Surgery. 2009. Vol. 2009, no. 2009, pp.1-8.
https://search.emarefa.net/detail/BIM-459252
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-459252
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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