The effects of thoracic epidural anesthesia on intraoperative visceral perfusion and metabolism

Anesthesia and Analgesia

Volumn 88, Issue 2, 1999, Pages 402-406

  Kapral, Stephan ^a   Gollmann, Gabriele ^b   Bachmann, Dietmar ^b   Prohaska, Barbara ^b   Likar, Rudolf ^b   Jandrasits, Oliver ^b   Weinstabl, Christian ^b   Lehofer, Franz ^b  

^a UNIVERSITY OF VIENNA   (Austria)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; PLACEBO;

ABDOMINAL SURGERY; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOSE RESPONSE; EPIDURAL DRUG ADMINISTRATION; HUMAN; INTESTINE BLOOD FLOW; INTRAOPERATIVE PERIOD; ISCHEMIA; ORGAN PERFUSION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; STOMACH MUCOSA LESION; SURGICAL STRESS; THORAX EPIDURAL ANESTHESIA; VISCERA;

ABDOMEN; ANESTHESIA, EPIDURAL; ANESTHETICS, LOCAL; BLOOD PRESSURE; BODY TEMPERATURE; BUPIVACAINE; CARBON DIOXIDE; FEMALE; GASTRIC MUCOSA; HEART RATE; HUMANS; HYDROGEN-ION CONCENTRATION; ISCHEMIA; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; OXYGEN; PLACEBOS; PRESSURE; REGIONAL BLOOD FLOW; STRESS; THORACIC VERTEBRAE;

EID: 0032909074     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000539-199902000-00034     Document Type: Article

References (22)

1. Kehlet H. Modification of response to surgery by neural blockade: clinical implications. In: Cousins MJ, Brdenbaugh PO, eds. Neural blockade in clinical anesthesia and management of pain 2nd ed. Philadelphia: JB Lippincott, 1987;145-88.
2. Kehlet H. The stress response to anaesthesia and surgery: release mechanisms and modifying factors. Clin Anaesthesiol 1984;2:315-39.
3. Carpenter RL. Regional anesthesia improves postoperative outcome. What further studies do we need? In: A. Van Zundert, ed. Highlights in pain therapy and regional anesthesia. V. Permanyer Publications, 1996:325-8.
4. Mythen GM, Webb AR. Intraoperative gut mucosal hypoperfusion is associated with increased post-operative complications and cost. Intensive Care Med 1994;20:99-104.
5. Shoemaker WC, Czer LS. Evaluation of the biologic importance of various hemodynamic and oxygen transport variables; which variables should be monitored in post-operative shock? Crit Care Med 1979;7:424-30.
6. Fiddian-Green RG, Baker S. Predictive value of stomach wall pH for complications after cardiac operations: comparison with other monitoring. Crit Care Med 1987;15:153-6.
7. Hartmann M, Montgomery A, Jonsson K, et al. Tissue oxygenation in hemorrhage shock measured as transcutaneous oxygen tension, subcutaneous oxygen tension, and gastrointestinal intramucosal pH in pigs. Crit Care Med 1991;19:205-10.
8. Riddington D, Venkatesh B, Clotton-Brock T, et al. Measuring carbon dioxide tension in saline and alternative solutions: quantification of bias and precision in two blood gas analyzers. Crate Care Med 1994;22:96-100.
9. Seeling W, Kustermann J, Schneider E. Postoperative Kathederperiduralanalgesie nach abdominellen Eingriffen. Bupivacain versus Buprenorphin peridural. Reg Anaesth 1990;13:78-87.
10. Thörn T, Sundberg A, Wattwill M, et al. Effects of epidural bupivacaine and morphine on bowel function and pain after hysterectomy. Acta Anaesthesiol Scand 1989;33:181-5.
11. Thörn SE, Wattwill M, Näslund I. Postoperative epidural morphine but not epidural bupivacaine delays gastric emptying on the first day after cholecystectomy. Reg Anesth 1992;17:91-4.
12. Hasenbos M, van Egmond J, Gielen M, et al. Postoperative analgesia with high thoracic epidural versus intramuscular nicomorphin after thoracotomy: part III - the effect of per-and postoperative analgesia on morbidity. Acta Anaesthesiol Scand 1987;31:645-51.
13. Guinard SO, Mavocordatos P, Chiolero R, et al. A randomized comparison of intravenous versus lumbar and thoracic epidural fentanyl for analgesia after thoracotomy. Anesthesiology 1992; 77:1108-15.
14. Kapral S, Gollmann G, Lehofer F. Gastric tonometry as a visceral perfusion monitoring during thoracic epidural anaesthesia. Acta Anaesthiol Scand Suppl 1996;109:178-80.
15. Johansson K, Ahn H, Lindhagen J, et al. Effect of epidural anaesthesia on intestinal blood flow. Br J Surg 1988;75:73-6.
16. Shoemaker WC, Appel PL, Kram HB, et al. Postoperative trial of supranormal values of survivors as therapeutic goal of high-risk surgical patients. Chest 1988;94:1176-86.
17. Benjamin E, Polokoff E, Oropello JM, et al. Sodium bicarbonate administration affects the diagnostic accuracy of gastrointestinal tonometry in mesenteric ischemia. Crit Care Med 1992;20: 1181-3.
18. Sutcliffe NP, Mostafa SM, Cannon J, et al. The effects of epidural blockade on gastric intramucosal pH in the peri-operative period. Anaesthesia 1996;51:37-40.
19. Aitkenhead AR, Wishart HY, Brown DA. High spinal nerve block for large bowel anastomosis. Br J Anaesth 1978;50:177-83.
20. Ahn H, Bronge A, Johansson K, et al. Effects of continuous postoperative epidural analgesia on intestinal motility. Br J Surg 1988;75:1176-8.
21. Thorn SE, Wattwil M, Källander A. Effects of epidural morphine and epidural bupivacaine on gastroduodenal motility during the fasted state and after food intake. Acta Anaesthesiol Scand 1994;38:57-62.
22. Deitch EA. The role of intestinal barrier failure and bacterial translocation in the development of systemic infection multiorgan failure. Arch Surg 1990;125:403-5.