Thoracic epidural analgesia versus parenteral morphine for post-thoracotomy pain relief
Author
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 6, Issue 2 (30 May. 2013), pp.180-187, 8 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2013-05-30
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Topics
Abstract EN
Aim The aim of this study was to evaluate the effects of thoracic epidural analgesia (TEA) with bupivacaine compared with postoperative intravenous morphine during thoracic surgery.
Patients and methods A total of 40 patients were randomly divided into two groups with 20 patients in each group: group I (control group) comprised patients receiving general anesthesia and intravenous morphine for postoperative pain relief; group II (bupivacaine group) comprised patients receiving general anesthesia combined with 0.1 ml/kg of 0.25 % bupivacaine plus 20 mg/ml fentanyl through an epidural catheter, followed by a 0.1 ml/kg/h infusion of bupivacaine for postoperative pain control.
Results The present study proved that TEA provides optimal analgesia with better postoperative pulmonary function, oxygenation, and clearance of secretions secondary to pain control.
In addition, TEA combined with general anesthesia is superior to general anesthesia and postoperative intravenous morphine as it reduces hormonal and metabolic stress responses, allows early extubation of our patients, decreases the length of stay in the intensive care unit, and decreases the incidence of postoperative side effects
American Psychological Association (APA)
al-Mursi, Wafa Z.. 2013. Thoracic epidural analgesia versus parenteral morphine for post-thoracotomy pain relief. Ain Shams Journal of Anesthesiology،Vol. 6, no. 2, pp.180-187.
https://search.emarefa.net/detail/BIM-651826
Modern Language Association (MLA)
al-Mursi, Wafa Z.. Thoracic epidural analgesia versus parenteral morphine for post-thoracotomy pain relief. Ain Shams Journal of Anesthesiology Vol. 6, no. 2 (May. 2013), pp.180-187.
https://search.emarefa.net/detail/BIM-651826
American Medical Association (AMA)
al-Mursi, Wafa Z.. Thoracic epidural analgesia versus parenteral morphine for post-thoracotomy pain relief. Ain Shams Journal of Anesthesiology. 2013. Vol. 6, no. 2, pp.180-187.
https://search.emarefa.net/detail/BIM-651826
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 186-187
Record ID
BIM-651826