Document Detail


Continuous monitoring of lower thoracic epidural pressure.
MedLine Citation:
PMID:  10877366     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this study was to examine whether the epidural pressure (EPIP) can be monitored for a long period of time using the continuous epidural infusion via the lower thorax. MATERIALS AND METHODS: Twenty-one adult patients undergoing gastrointestinal surgery had an epidural catheter inserted via the lower thoracic interspace. After induction of general anesthesia, continuous infusion of local anesthetic at a rate of 4 to 5 mL/h was applied epidurally. A pressure transducer was connected to the epidural catheter and the EPIP was monitored. During surgery, changes in the EPIP were monitored at 0, 5, and 10 cm H2O of positive end-expiratory pressure (PEEP). On postoperative day 1, 2, and 3, the EPIP was measured in the supine position, the Queckenstedt test, and the 30 degrees head-up position. RESULTS: The EPIP was monitored continuously and stably during surgery and until postoperative day 3, it increased significantly at 5 and 10 cm H2O PEEP, and increased and decreased significantly in the Queckenstedt test and the head-up position, respectively. CONCLUSION: Continuous epidural infusion at a rate of 4 to 5 mL/h via the lower thorax allows stable monitoring of the EPIP over a long period of time.
Authors:
H Iwama; S Ohmori
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of critical care     Volume:  15     ISSN:  0883-9441     ISO Abbreviation:  J Crit Care     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-10-19     Completed Date:  2000-10-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8610642     Medline TA:  J Crit Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  60-3     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Central Aizu General Hospital, Aizuwakamatsu, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anesthesia, Epidural / instrumentation,  methods*
Epidural Space*
Female
Humans
Infusions, Parenteral / instrumentation,  methods*
Intracranial Pressure
Male
Middle Aged
Monitoring, Physiologic / instrumentation,  methods*
Reproducibility of Results
Sensitivity and Specificity
Sodium Chloride / administration & dosage*
Supine Position
Thoracic Vertebrae
Time Factors
Transducers, Pressure
Chemical
Reg. No./Substance:
7647-14-5/Sodium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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