Thoracic epidural anesthesia: More than just anesthesia/analgesia

Anesthesiology

Volumn 99, Issue 3, 2003, Pages 523-525

  Sielenkämper, Andreas W ^a   Van Aken, Hugo ^a  

^a UNIVERSITY HOSPITAL MÜNSTER   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

EDITORIAL; GASTROINTESTINAL SURGERY; HUMAN; INTESTINE BLOOD FLOW; INTESTINE ISCHEMIA; INTESTINE MUCOSA; NONHUMAN; PH; PRIORITY JOURNAL; REPERFUSION; SPLANCHNIC BLOOD FLOW; SYMPATHETIC NERVE; THORAX EPIDURAL ANESTHESIA;

ANALGESIA, EPIDURAL; ANESTHESIA, EPIDURAL; ANIMALS; DIGESTIVE PHYSIOLOGY; DIGESTIVE SYSTEM; HEMODYNAMIC PROCESSES; HUMANS; LEUKOCYTES; RABBITS; REGIONAL BLOOD FLOW; SYMPATHETIC NERVOUS SYSTEM; THORAX;

EID: 0042827303     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-200309000-00004     Document Type: Editorial

References (21)

1. Jakob SM: Splanchnic blood flow in low-flow states. Anesth Analg 2003; 96:1129-38
2. Doglio GR, Pusajo JF, Egurrola MA, Bonfigli GC, Parra C, Vetere L, Hernandez MS, Fernadez S, Paliza F, Gutierrez G: Gastric mucosal pH as a prognostic index of mortality in critically ill patients. Crit Care Med 1991; 19:1037-40
3. Poeze M, Takala J, Greve JW, Ramsay G: Pre-operative tonometry is predictive for mortality and morbidity in high-risk surgical patients. Intensive Care Med 2000; 26:1272-81
4. Adolphs J, Schmidt DK, Mousa SA, Kamin B, Korsukewitz I, Habazettl H, Schäfer M, Welte M: Thoracic epidural anesthesia attenuates hemorrhage-induced impairment of intestinal perfusion in rats. ANESTHESIOLOGY 2003; 99:685-92
5. Meissner A, Rolf N, Van Aken H: Thoracic epidural anesthesia and the patient with heart disease: Benefits, risks, and controversies. Anesth Analg 1997; 85:517-28
6. Ai K, Kotake Y, Satoh T, Serita R, Takedo J, Morisaki H: Epidural anesthesia retards intestinal acidosis and reduces port vein endotoxin concentrations during progressive hypoxia in rabbits. ANESTHESIOLOGY 2001; 94:263-9
7. Meissner A, Weber TP, Van Aken H, Rolf N: Limited upper thoracic epidural block and splanchnic perfusion in dogs. Anesth Analg 1999; 89:1378-81
8. Sielenkämper AW, Eicker K, Van Aken H: Thoracic epidural anesthesia increases mucosal perfusion in ileum of rats. ANESTHESIOLOGY 2000; 93:844-51
9. Sutcliffe NP, Mostafa SM, Gannon J, Harper SJ: The effect of epidural blockade on gastric intramucosal pH in the peri-operative period. Anaesthesia 1996; 51:37-40
10. Kapral S, Gollmann G, Bachmann D, Prohaska B, Likar R, Jandmsits O, Weinstabl C, Lehofer F: The effects of thoracic epidural anesthesia on intraoperative visceral perfusion and metabolism. Anesth Analg 1999; 88:402-6
11. Mallinder PA, Hall JE, Bergin FG, Royle P, Leaper DJ: A comparison of opiate- and epidural-induced alterations in splanchnic blood flow using intraoperative gastric tonometry. Anaesthesia 2000; 55:659-65
12. Väisänen O, Parviainen I, Ruokonen E, Hippelainen M, Berg E, Takala J: Epidural analgesia with bupivacaine does not improve splanchnic tissue perfusion after aortic reconstruction surgery. Br J Anesth 1998; 81:893-8
13. Piper SN, Boldt J, Schmidt CC, Maleck WH, Brosch C, Kumle B: Hemodynamics, intra-mucosal pH and regulators of circulation during perioperative epidural analgesia. Can J Anesth 2000; 47:631-7
14. Hogan QH, Stekiel TA, Stadnicka A, Bosnjak ZJ, Kampine JP: Region of epidural blockade determines sympathetic and mesenteric capacitance effects in rabbits. ANESTHESIOLOGY 1995; 83:604-10
15. Brodner G, Van Aken H, Hertle L, Fobker M, Von Eckardstein A, Goeters C, Buerkle H, Harks A, Kehlet H: Multimodal perioperative management - combining thoracic epidural analgesia, forced mobilization, and oral nutrition -reduces hormonal and metabolic stress and improves convalescence after major urologic surgery. Anesth Analg 2001; 92:1594-600
16. Holte K, Kehlet H: Epidural anaesthesia and analgesia: Effects on surgical stress responses and implications for postoperative nutrition. Clin Nutr 2002; 21:199-206
17. Spackman DR, McLeod AD, Prneas SN, Leach RM, Reynolds F: Effect of epidural blockade on indicators of splanchnic perfusion and gut function in critically ill patients with peritonitis: A randomised comparison of epidural bupivacaine with systemic morphine. Intensive Care Med 2000; 26:1638-45
18. Sielenkämper AW, Meyer J, Kloppenburg H, Eicker K, Van Aken H: The effects of sepsis on gut mucosal blood flow in rats. Eur J Anaesthesiol 2001; 18:673-8
19. Hynninen M, Valtonen M, Markkanen H, Vaara M, Kuusela P, Jousela I, Piilonen A, Takkunen O: Intramucosal pH and endotoxin and cytokine release in severe acute pancreatitis. Shock 2000; 13:79-82
20. Hinder F, Stubbe HD, Van Aken H, Baba HA, Jahn UR, Brodner G, August C, Erren M, Booke M: Early multiple organ failure after recurrent endotoxemia in the presence of vasoconstrictor-masked hypovolemia. Crit Care Med 2003; 31:903-9
21. Beattie WS, Badner NH, Choi P: Epidural analgesia reduces postoperative myocardial infarction: A meta-analysis. Anesth Analg 2001; 93:853-8