EPIDURAL ANALGESIA IN THORACIC TRAUMA - EFFECTS OF LUMBAR MORPHINE AND THORACIC BUPIVACAINE ON PULMONARY-FUNCTION

被引:30
作者
CICALA, RS
VOELLER, GR
FOX, T
FABIAN, TC
KUDSK, K
MANGIANTE, EC
机构
[1] UNIV TENNESSEE,CTR HLTH SCI,DEPT SURG,MEMPHIS,TN 38163
[2] PRESLEY TRAUMA CTR,MEMPHIS,TN
关键词
D O I
10.1097/00003246-199002000-00020
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Changes in pulmonary function tests were compared in 14 thoracic trauma patients, of whom seven received thoracic epidural bupivacaine for analgesia and seven received lumbar epidural morphine. In both groups epidural analgesia decreased subjective pain levels when compared to parenteral narcotics which the patients received before epidural catheter placement. Patients in the bupivacaine group had statistically significant improvements in vital capacity and forced expiratory volume, and a decreased respiratory rate. Patients in the morphine group had no significant change in pulmonary function. The use of thoracic epidural bupivacaine for analgesia in post-traumatic chest injuries produced superior improvement in pulmonary function when compared to lumbar epidural morphine.
引用
收藏
页码:229 / 231
页数:3
相关论文
共 10 条
[1]   CONTINUOUS EPIDURAL INFUSION OF FENTANYL FOR POSTOPERATIVE ANALGESIA [J].
BAILEY, PW ;
SMITH, BE .
ANAESTHESIA, 1980, 35 (10) :1002-1006
[2]  
BROMAGE PR, 1980, ANESTH ANALG, V59, P473
[3]   EPIDURAL ANALGESIA OR MECHANICAL VENTILATION FOR MULTIPLE RIB FRACTURES [J].
DITTMANN, M ;
STEENBLOCK, U ;
KRANZLIN, M ;
WOLFF, G .
INTENSIVE CARE MEDICINE, 1982, 8 (02) :89-92
[4]   DIAPHRAGMATIC CONTRACTILITY AFTER UPPER ABDOMINAL-SURGERY [J].
DUREUIL, B ;
VIIRES, N ;
CANTINEAU, JP ;
AUBIER, M ;
DESMONTS, JM .
JOURNAL OF APPLIED PHYSIOLOGY, 1986, 61 (05) :1775-1780
[5]  
FROMME GA, 1985, ANESTH ANALG, V64, P454
[6]  
MACKERSIE RC, 1987, J TRAUMA, V27, P1207
[7]   IMPROVEMENT OF DIAPHRAGMATIC FUNCTION BY A THORACIC EXTRADURAL BLOCK AFTER UPPER ABDOMINAL-SURGERY [J].
MANKIKIAN, B ;
CANTINEAU, JP ;
BERTRAND, M ;
KIEFFER, E ;
SARTENE, R ;
VIARS, P .
ANESTHESIOLOGY, 1988, 68 (03) :379-386
[8]   INTERCOSTAL AND ABDOMINAL MUSCLE AFFERENT INFLUENCE ON MEDULLARY DORSAL RESPIRATORY GROUP NEURONS [J].
SHANNON, R .
RESPIRATION PHYSIOLOGY, 1980, 39 (01) :73-94
[9]  
SIMMONNEAU G, 1983, AM REV RESPIR DIS, V128, P899
[10]  
WORTHLEY LIG, 1985, INTENS CARE MED, V11, P132