An intra-operative comparison of lumbar with thoracic epidural sufentanil for thoracotomy.

Abstract:

:The efficacy of thoracic epidural sufentanil 50 micrograms was compared with lumbar epidural sufentanil 50 micrograms in 30 patients (n = 15 in each group) undergoing lateral thoracotomy. Sufentanil was administered epidurally after induction of anaesthesia with sufentanil 1 microgram.kg-1 and thiopentone 2-5 mg.kg-1 intravenously. Anaesthesia, nitrous oxide 66%, halothane 0.3% and sufentanil 25 micrograms intravenously were given whenever the systolic arterial blood pressure increased more than 15 mmHg above the preoperative value and heart rate exceeded 90 beat.min-1 in the absence of hypovolaemia, or when other autonomic or somatic signs were seen. Four patients in the thoracic epidural group and five in the lumbar epidural group needed supplementary sufentanil. Six patients in the thoracic epidural group and three in the lumbar epidural group each had a single hypotensive episode. Lumbar and thoracic epidural sufentanil are equally effective in contributing to intra-operative analgesia for lateral thoracotomy.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Haak-van der Lely F,van Kleef JW,Burm AG,Bovill JG

doi

10.1111/j.1365-2044.1994.tb03366.x

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

119-21

issue

2

eissn

0003-2409

issn

1365-2044

journal_volume

49

pub_type

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