Effect of subarachnoid morphine administration on haemodynamic stress responses and extubation time after valve replacement surgery

Egyptian Journal of Anaesthesia

Volumn 19, Issue 1, 2003, Pages 9-19

  Abd El Hakeem, Essam E ^a   Ashry, Mahmoud A ^b   Abd El Rahman, Mahmoud ^a  

^a Assiut University Faculty of Medicine   (Egypt)

^b ASSIUT UNIVERSITY   (Egypt)

Author keywords

Intrathecal opioids; Tracheal extubation; Valve replacement surgery

Indexed keywords

ANALGESIC AGENT; ANTIHYPERTENSIVE AGENT; DIGOXIN; DOBUTAMINE; FENTANYL; FUROSEMIDE; GLYCERYL TRINITRATE; HEPARIN; INOTROPIC AGENT; MIDAZOLAM; MORPHINE; NITROPRUSSIDE SODIUM; OXYGEN; PLACEBO; PROPOFOL; VASODILATOR AGENT;

ADULT; AIR CONDITIONING; ANESTHESIA INDUCTION; AORTA VALVE REPLACEMENT; ARTERY CATHETERIZATION; ARTICLE; CARBON DIOXIDE TENSION; CENTRAL VENOUS PRESSURE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIASTOLIC BLOOD PRESSURE; DOUBLE BLIND PROCEDURE; DRUG USE; EXTUBATION; FEMALE; FORCED EXPIRATORY VOLUME; HEADACHE; HEART RATE; HEART VALVE REPLACEMENT; HEMODYNAMIC PARAMETERS; HEMODYNAMICS; HUMAN; INTENSIVE CARE UNIT; INTRAOPERATIVE PERIOD; LOW DRUG DOSE; MALE; MEAN ARTERIAL PRESSURE; MITRAL VALVE REPLACEMENT; NAUSEA; NEUROLOGIC DISEASE; OXYGEN SATURATION; PAIN ASSESSMENT; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PROSPECTIVE STUDY; PRURITUS; RANDOMIZED CONTROLLED TRIAL; RESPIRATION DEPRESSION; RESPIRATORY FUNCTION; SKIN INCISION; STATISTICAL SIGNIFICANCE; STERNOTOMY; STRESS; SUPPLEMENTATION; SYSTOLIC BLOOD PRESSURE; VOMITING;

EID: 0242331592     PISSN: 11101849     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (37)

1. Abboud TK, Dror A, Mossad P, et al: Mini-dose intrathecal morphine for the relief of post-cesarean section pain: Safety, efficacy and ventilatory responses to carbon dioxide. Anesth Analg 1988;67: 137-143.
2. Kirson LE, Goldman JM, Stover RB: Low-dose intrathecal morphine for postoperative pain control in patients undergoing transuretheral resection of the prostate. Anesthesiology 1989;71:192-195.
3. Jacobson L, Chabal C, Brody MC, et al: Intrathecal methadone and morphine for postoperative analgesia: A comparison of the efficacy, duration, and side effects. Anesthesiology 1989;70:742-746.
4. Vanstrum GS, Bjornson KM, Ilko R: Postoperative effects of intrathecal morphine in coronary artery bypass surgery. Anesth Analg 1988;67:261-267.
5. Fitzpatrick GJ, Moriarty DC: Intrathecal morphine in the management of pain following cardiac surgery: A comparison with morphine IV. Br J Anaesth 1988; 60:639-644.
6. Chaney MA, Furry PA, Fluder EM, Slogoff S: Intrathecal morphine for coronary artery bypass grafting and early extubation. Anesth Analg 1997; 84:241-248.
7. Chaney MA, Smith KR, Barklay JC, Slogoff S: Large-dose intrathecal morphine for coronary artery bypass grafting. Anesth Analg 1996;83:215-222.
8. Shroff A, Rooke GA, Bishop MJ: Effects of intrathecal opioid on extubation time, analgesia, and intensive care unit stay following coronary artery bypass grafting. J Clin Anesth 1997;9:415-419.
9. Cheng DCH, Karski J, Peniston C, et al: Morbidity outcome in early versus conventional tracheal extubation after coronary artery bypass grafting: A prospective randomized controlled trial. J Thorac Cardiovasc Surg 1996;112:755-764.
10. Cheng DCH, Karski J, Peniston C, et al: Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use. Anesthesiology 1996;85:1300-1310.
11. Mangano DT, Siliciano D, Hollenberg M, et al: Postoperative myocardial ischemia: Therapeutic trials using intensive analgesia following surgery. Anesthesiology 1992;76:342-353.
12. Anand KJS, Hickey PR: Halothane-morphine compared with high-dose sufentanil for anaesthesia and postoperative analgesia in neonatal cardiac surgery. N Engl J Med 1992;326:1-9.
13. Revill SI, Robinson JO, Rosen M, Hogg MIJ: The reliability of a linear analogue for evaluating pain. Anaesthesia 1976;31:1191-1198.
14. Ramsay MAE, Savage TH, Simpson BRJ, Goodwin A: Controlled sedation with alphaxalone-alphadolone. BMJ 1974;2:656-658.
15. Liu SS, Carpenter RL, Neal JM: Epidural anesthesia and analgesia; their role in postoperative outcome. Anesthesiology 1995;82:1474-1506.
16. Weissman C: The metabolic response to stress: An overview and update. Anesthesiology 1990;73:308-327.
17. Kehlet H: Surgical stress: The role of pain and analgesia. Br J Anaesth 1989;63:189-195.
18. Tuman KJ, McCarthy RJ, March RJ, et al: Effects of epidural anesthesia and analgesia on coagulation and outcome after major vascular surgery. Anesth Analg 1991;73:696-704.
19. Yeager MP, Glass DD, Neff RK, Johnsen T: Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology 1987;66:729-736.
20. Culebras X, Gaggero G, Zatloukal J, et al: Advantages of intrathecal nalbuphine, compared with intrathecal morphine, after cesarean delivery: An evaluation of postoperative analgesia and adverse effects. Anesth Analg 2000;91:601-605.
21. Fournier R, Van Gessel E, Macksay M, Gamulin Z: Onset and offset of intrathecal morphine versus nalbuphine for postoperative pain relief after total hip replacement. Acta Anaesthesiol Scand 2000; 44:940-945.
22. Flacke JW, Flacke WE, Bloor BC, Olewine S: Effects of fentanyl, naloxone and clonidine on hemodynamics and plasma catecholamine levels in dog. Anesth Analg 1983;62:305.
23. Chaney MA: Side effects of intrathecal and epidural opioids. Can J Anaesth 1995;42:891-903.
24. Brunschwiler M, Van Gessel E, Forster A, et al: Comparison of clonidine, morphine or placebo mixed with bupivacaine during continuous spinal anaesthesia. Can J Anaesth 1998;45:735-739.
25. Palmer CM, Cork RC, Hays R, et al: The dose-response relation of intrathecal fentanyl for labor analgesia. Anesthesiology 1998;88:355-361.
26. Romagnano MA, Hamill RW: Spinal sympathetic pathway: An enkephalin ladder. Science 1984;225: 737-739.
27. Cheng DCH: Early extubation after cardiac surgery decreases intensive care unit stay and cost. J Cardiothorac Vasc Anesth 1995;9:460-464.
28. Higgins TL: Pro: Early endotracheal extubation is preferable to late extubation in patients following coronary artery surgery. J Cardiothorac Vasc Anesth 1992;6:488-493.
29. Latham P, Zarate E, White PF, et al: Fast-track cardiac anesthesia: A comparison of remifentanil plus intrathecal morphine with sufentanil in a desflurane-based anesthetic. J Cardiothorac Vasc Anesth 2000;14:645-651.
30. Smith RC, Leung JM, Mangano DT: Postoperative myocardial ischemia in patients undergoing coronary artery bypass graft surgery. Anesthesiology 1991;74:464-473.
31. Leung JM, O'Kelly B, Browner WS, et al: Prognostic importance of postbypass regional wall-motion abnormalities in patients undergoing coronary artery bypass graft surgery. Anesthesiology 1989;71:16-25.
32. Guenther CR: Early extubation after cardiac surgery decreases intensive care unit stay and cost. Con: early extubation after cardiac surgery does not decrease intensive care unit stay and cost. J Cardiothorac Vasc Anesth 1995;9:465-467.
33. Siliciano D: Con: early extubation is not preferable to late extubation in patients undergoing coronary artery surgery. J Cardiothorac Vasc Anesth 1992;6:464-468.
34. Stoelting RK; Intrathecal morphine - an underused combination for postoperative pain management. Anesth Analg 1989;68:707-709.
35. Mychaskiw G, Dharmavarapu V: Intrathecal morphine for coronary artery bypass graft surgery revisited. J Cardiothorac Vasc Anesth 2000;14:358-363.
36. Alhashemi JA, Sharpe MD, Harris CL, et al: Effect of subarachnoid morphine administration on extubation time after coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth 2000;14:639-644.
37. Jacobson L, Chabal C, Brody MC: A dose-response study of Intrathecal morphine: Efficacy, duration, optimal dose, and side effects. Anesth Analg 1988;67:1082-1088.