Intrathecal morphine for post-sternotomy pain in patients with myasthenia gravis: Effects on respiratory function

Acta Anaesthesiologica Scandinavica

Volumn 41, Issue 5, 1997, Pages 549-556

  Nilsson, E ^a   Perttunen, K ^a   Kalso, E ^a  

^a HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

Author keywords

analgesic technique: subarachnoid, patient controlled; Analgesics: opioid, morphine; neuromuscular disease: myasthenia gravis; respiratory function: forced vital capacity, forced expiratory volume in 1 s; surgery: thoracic, thymectomy

Indexed keywords

MORPHINE;

ADOLESCENT; ADULT; ARTERIAL CARBON DIOXIDE TENSION; ARTICLE; BREATHING RATE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG EFFICACY; FEMALE; FORCED EXPIRATORY VOLUME; HEADACHE; HUMAN; INTRATHECAL DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; MALE; MYASTHENIA GRAVIS; NAUSEA; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL; RESPIRATION DEPRESSION; THYMECTOMY;

EID: 0030985856     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1399-6576.1997.tb04743.x     Document Type: Article

References (27)

1. Drachman DB. Myasthenia gravis. N Eng J Med 1994: 25: 1797-1810.
2. DeFilippi VJ, Richman DP, Ferguson MK. Transcervical thymectomy for myasthenia gravis. Ann Thor Surg 1994: 57: 194-197.
3. Cousins MJ, Mather LE. Intrathecal and epidural administration of opioids. Anesthesiology 1984: 61: 276-305.
4. Raj PP, Brannon JE. Analgesic considerations for the median sternotomy. In: Gravlee GP, Rauck RL, eds. Pain Management in Cardiothoracic Surgery. Philadelphia: JB Lippincott, 1993: 101-124.
5. Gray JR, Fromme GA, Wang JK, Ilstrup DM. Intrathecal morphine for post-thoracotomy pain. Anesth Analg 1986: 65: 873-876.
6. Lefvert AK, Bergstrom K, Matell G, Osterman PO, Pirskanen R. Determination of acetylcholine receptor antibody in myasthenia gravis; clinical usefulness and pathogenetic implications. J Neur Neurosurg Psych 1978: 41: 394-403.
7. Oosterhuis HJGH. Thymectomy in myasthenia gravis. In: Myasthenia gravis: Clinical Neurology and Neurosurgery Monographs. New York: Churchill Livingstone, 1984: 62-75.
8. Nilsson E, Meretoja OA. Vecuronium dose-response and maintenance requirements in patients with myasthenia gravis. Anesthesiology 1990: 3: 28-32.
9. Gorback MS. Analgesic management after thymectomy. Anesthesiol Rep 1990: 2: 262-266.
10. Tigerstedt I, Tammisto T. A modified visual analogue scale (VAS) for evaluation of pain intensity during immediate postoperative recovery. Schmerz/Pain/Douleur 1988: 9: 27-31.
11. Zoer J, Virgili P, Henry JA. High-performance liquid chromatographic assay for morphine with electrochemical detection using an unmodified silica column with a non-aqueous ionic eluent. J Chromatograph 1986: 382: 189-197.
12. Cooper JD, Nelems JM, Pearson FG. Extended indications for median sternotomy in patients requiring pulmonary resection. Ann Thor Surg 1978: 26: 413-420.
13. Miller KA, Harkin CP, Bailey PL. Postoperative tracheal extubation. Anesth Analg 1995: 80: 149-172.
14. Stoelting RK. Intrathecal morphine - an underused combination for postoperative pain management. Anesth Analg 1989: 68: 707-709.
15. Jahr JS, Bjerke RJ. Intrathecal morphine for thymectomy in a morbidly obese patient with myasthenia gravis. J La Stat Med Soc 1991: 143(2): 27-29.
16. Bailey PL, Rhondeau S, Schäfer PG, Lu JK, Timmons BS, Foster W, et al. Dose-response pharmacology of intrathecal morphine in human volunteers. Anesthesiology 1991; 9: 49-59.
17. Neustein SM, Cohen E. Intrathecal morphine during thoracotomy, part II: effect on postoperative meperidine requirements and pulmonary function on tests. J Cardiothorac Vasc Anesth 1993: 7: 157-159.
18. Gielen M. Postdural puncture headache (PDPH): a review. Reg Anesth 1989: 14: 101-106.
19. Lynch J, Arhelger S, Krings-Ernst I, Grond S, Zech D. Whitcare 22-gauge pencil point needle for spinal anaesthesia. A controlled trial in 300 young orthopedic patients. Anaesth Intensive Care 1992: 20: 322-325.
20. Kirsch JR, Diringer MN, Borel CO, Hanley DF, Merritt WT, Bulkley BG. Preoperative lumbar epidural morphine improves postoperative analgesia and ventilatory function after transsternal thymectomy in patients with myasthenia gravis. Crit Care Med 1991: 19: 1474-1479.
21. Ferretti F, Cresani S, Rodriquez NJ. Peut-on employer l'analgésie epidurale thoracale haute dans les soins intensifs postoperatoires du myasthenique après thymectomie transsternale? Schweiz Med Woch Schrift 1987: 117: 438-441.
22. Nussbaum MS, Rosenthal GJ, Samaha FJ, Grinvalsky HT, Quinlan JG, Schmerler M, et al. Management of myasthenia gravis by extended thymectomy with anterior mediastinal dissection. Surgery 1992: 112: 681-688.
23. Compston DAS, Vincent A, Newsom-Davis J, Batchelor JR. Clinical, pathological, HLA-antigen and immunological evidence for disease heterogeneity in myasthenia gravis. Brain 1980: 103: 597-601.
24. Nilsson E, Paloheimo M, Muller K, Heinonen J. Halothane-induced variability in the neuromuscular transmission of patients with myasthenia gravis. Acta Anaesthesiol Scand 1989: 33: 395-401.
25. Nilsson E, Muller K. Neuromuscular effects of isoflurane in patients with myasthenia gravis. Acta Anaesthesiol Scand 1990: 34: 126-131.
26. Ready LB, Edwards WT. The management of acute pain: a practical guide. Seattle: International Association for the Study of Pain, 1992.
27. Gwirtz KH. Single-dose intrathecal opioids in the management of acute postoperative pain. In: Sinatra RS, Hord AH, Ginsberg B, Preble LM, eds. Acute Pain: Mechanisms & Management. St. Louis, Baltimore: Mosby Year Book, 1992: 253-268.