| Thoracic epidural-general analgesia in scoliosis surgery. | |
| | |
MedLine Citation:
|
PMID: 20868960 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
STUDY OBJECTIVE: To evaluate the efficacy of thoracic epidural analgesia (TEA) in scoliosis surgery. DESIGN: Descriptive clinical study. SETTING: University hospital. PATIENTS: 15 ASA physical status I, II, and III patients undergoing thoracolumbar scoliosis correction. INTERVENTIONS: TEA was performed at three to 5 cm cephalad to the incision, and 5 to 10 mL of 0.125% - 0.2% levobupivacaine was given initially. Then, 5 to 10 mL of levobupivacaine was infused hourly throughout the operation. General anesthesia (GA) was induced with thiopental sodium (5 mg/kg) and fentanyl (one μg/kg) and was maintained with 0.2% sevoflurane and 50% nitrous oxide in oxygen. Intraoperative epidural morphine (two to three mg) was administered, and 0.1% levobupivacaine with morphine (0.04 to 0.08 mg/mL) was infused at two to 4 mL/hr for postoperative analgesia. MEASUREMENTS: Adequacy of anesthesia, postanesthetic recovery and analgesia, adverse effects, and patient satisfaction were recorded. MAIN RESULTS: 20% of patients underwent more than 10 levels of correction, and 53% had coexisting morbid diseases. All had adequate anesthesia. Immediately in the Postanesthesia Care Unit (PACU), 67% of patients reached an Aldrete score of 10, and 40% were fully awake and oriented. All patients were arousable to command and able to flex their hips and knees. None had intraoperative recall. 73% reported no pain in the PACU or 6 hours postoperatively. No serious adverse effects occurred. 80% of patients rated their satisfaction as "good". CONCLUSIONS: Preincisional application of TEA with light GA may be used effectively in thoracolumbar scoliosis surgery. |
| | |
Authors:
|
Petchara Sundarathiti; Koravee Pasutharnchat; Pornpimon Jommaroeng |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: Journal of clinical anesthesia Volume: 22 ISSN: 1873-4529 ISO Abbreviation: J Clin Anesth Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-09-27 Completed Date: 2011-01-11 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
|
Languages: eng Pagination: 410-4 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Anesthesiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. petcharas@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Aged Analgesia, Epidural / adverse effects, methods* Analgesics, Opioid / administration & dosage, adverse effects Anesthesia Recovery Period Anesthesia, General / adverse effects, methods* Anesthetics, Local / administration & dosage*, adverse effects Bupivacaine / administration & dosage, adverse effects, analogs & derivatives Child Hospitals, University Humans Middle Aged Morphine / administration & dosage, adverse effects Pain, Postoperative / drug therapy Patient Satisfaction Scoliosis / surgery* Thoracic Vertebrae |
| Chemical | |
Reg. No./Substance:
|
0/Analgesics, Opioid; 0/Anesthetics, Local; 0/levobupivacaine; 2180-92-9/Bupivacaine; 57-27-2/Morphine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Anesthesiologists' preferences for preoperative cardiac evaluation before vascular surgery: results ...
Next Document: Mask ventilation, hypocapnia, and seizure duration in electroconvulsive therapy.