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- Flisberg, PerLund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine (author)
Pain relief after esophagectomy: Thoracic epidural analgesia is better than parenteral opioids
- Article/chapterEnglish2001
Publisher, publication year, extent ...
- Elsevier BV,2001
Numbers
- LIBRIS-ID:oai:lup.lub.lu.se:39370814-51e6-4faf-8fa8-54e1bdce7b76
- https://lup.lub.lu.se/record/1120200URI
- https://doi.org/10.1053/jcan.2001.23270DOI
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- Language:English
- Summary in:English
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- SwePubSwePub
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Notes
- OBJECTIVE: To compare postoperative pain relief and pulmonary function in patients after thoracoabdominal esophagectomy treated by continuing perioperative thoracic epidural anesthesia or changing to parenteral opioids. DESIGN: Prospective, randomized study. SETTING: University teaching hospital. PARTICIPANTS: Thirty-three patients undergoing thoracoabdominal esophagectomy. INTERVENTIONS: General anesthesia was combined with thoracic epidural anesthesia during surgery. The patients either continued with thoracic epidural analgesia (n = 18) or were switched to patient-controlled analgesia with intravenous morphine (n = 15) for 5 postoperative days. Pain scores were estimated twice daily, at rest and after mobilization. Peak expiratory flow, forced expiratory volume, and vital capacity were measured the day before surgery, postoperative day 2, and postoperative day 6. Adverse events and complications were recorded. MEASUREMENTS AND MAIN RESULTS: At rest, there were no differences in pain relief between the groups. Pain scores at mobilization showed a significantly lower value in the epidural group (p < 0.027). No intergroup differences were found regarding pulmonary function, which decreased on postoperative day 2, but was improved on postoperative day 6. CONCLUSION: Continuation of intraoperative thoracic epidural anesthesia for 5 postoperative days provides better pain relief at mobilization compared with a switch to patient-controlled analgesia with intravenous morphine. There was no intergroup difference in the impact on measures of pulmonary function.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
- intravenous analgesia
- thoracic epidural
- esophagectomy
- postoperative
- morphine
- bupivacaine
Added entries (persons, corporate bodies, meetings, titles ...)
- Törnebrandt, Kenneth (author)
- Walther, BrunoLund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)kir-bwa (author)
- Lundberg, JohanLund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargrupper vid Lunds universitet,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Anaesthesiology and Intensive Care Medicine,Lund University Research Groups(Swepub:lu)anes-jlu (author)
- Anestesiologi och intensivvårdSektion II (creator_code:org_t)
Related titles
- In:Journal of Cardiothoracic and Vascular Anesthesia: Elsevier BV15:3, s. 282-2871532-84221053-0770
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