Document Detail

Continuous subarachnoid analgesia in two adolescents with severe scoliosis and impaired pulmonary function.
MedLine Citation:
PMID:  1772818     Owner:  NLM     Status:  MEDLINE    
We report postoperative pain management of two adolescents after upper abdominal procedures, one with Hurler-Scheie syndrome and a second with Duchenne muscular dystrophy, and both had progressive spinal scoliosis with poor pulmonary function. A combined technique of subarachnoid and general anesthesia was used during surgery. Postoperative administration of small intermittent doses of subarachnoid morphine produced profound analgesia, which eliminated the need for systemic opioids, restored preoperative arterial oxygenation within 48 hours after the operation, and expedited postoperative recovery.
N F Sethna; C B Berde
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Regional anesthesia     Volume:  16     ISSN:  0146-521X     ISO Abbreviation:  Reg Anesth     Publication Date:    1991 Nov-Dec
Date Detail:
Created Date:  1992-03-05     Completed Date:  1992-03-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7707549     Medline TA:  Reg Anesth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  333-6     Citation Subset:  IM    
Department of Anesthesia, Children's Hospital, Boston, MA 02115.
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MeSH Terms
Abdomen / surgery*
Morphine / administration & dosage*
Mucopolysaccharidosis I / complications*
Muscular Dystrophies / complications*
Pain, Postoperative / prevention & control*
Respiration Disorders / complications*
Scoliosis / complications*
Subarachnoid Space
Reg. No./Substance:

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

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