Total intravenous anaesthesia versus thoracic epidural combined with general anaesthesia for thoracic surgery

Egyptian Journal of Anaesthesia

Volumn 20, Issue 2, 2004, Pages 119-125

  Abd El Hakeem, Essam E ^a,b   Abdel Aal, Fatma ^a  

^a Assiut University Faculty of Medicine   (Egypt)

^b NONE   (Egypt)

Author keywords

One lung ventilation; Pulmonary shunt fraction; Thoracic epidural anaesthesia; Total intravenous anaesthesia

Indexed keywords

BUPIVACAINE; FENTANYL; ISOFLURANE; MORPHINE; PIPECURONIUM BROMIDE; PROPOFOL; THIOPENTAL;

ADULT; ANESTHESIA INDUCTION; ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL OXYGEN TENSION; ARTICLE; CENTRAL VENOUS PRESSURE; CLINICAL ARTICLE; CONTROLLED STUDY; EXTUBATION; FEMALE; GENERAL ANESTHESIA; HEART INDEX; HEART RATE; HEMODYNAMICS; HUMAN; INTENSIVE CARE UNIT; INTERMETHOD COMPARISON; INTRAVENOUS ANESTHESIA; LENGTH OF STAY; LUNG ARTERIOVENOUS SHUNT; LUNG ARTERY PRESSURE; LUNG VASCULAR RESISTANCE; LUNG VENTILATION; MALE; MEAN ARTERIAL PRESSURE; PAIN ASSESSMENT; POSTOPERATIVE PAIN; SCORING SYSTEM; STATISTICAL ANALYSIS; SUPINE POSITION; SYSTEMIC VASCULAR RESISTANCE; THORACOTOMY; THORAX EPIDURAL ANESTHESIA; VENOUS OXYGEN TENSION;

EID: 2442606546     PISSN: 11101849     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (20)

1. Cutaia M, Rounds S: Hypoxic pulmonary vasoconstriction: Physiologic significance, mechanism, and clinical relevance. Chest 1990;97: 706-718.
2. Garutti I, Quintana B, Olmedilla L, et al.: Arterial oxygenation during one-lung ventilation: combined versus general anesthesia. Anesth Analg 1999;88: 494-499.
3. Pagel PS, John JL, Damask MC, et al.: Desflurane and isoflurane produce similar alterations in systemic and pulmonary hemodynamics and arterial oxygenation in patients undergoing one-lung ventilation during thoracotomy. Anesth Analg 1998; 87:800-807.
4. Spies C, Zaune U, Pauli G, et al.: Comparison of enflurane and propofol during thoracic surgery. Anaesthesist 1991;40:14-18.
5. Van Keer L, Van Aken H, Vandermeersch E, Vermaut G: Propofol does not inhibit HPV in humans. J Clin Anesth 1989;1:284-288.
6. Ishibe Y, Shiokawa Y, Umeda T, et al.: The effect of thoracic epidural anesthesia on hypoxic pulmonary vasoconstriction in dogs: an analysis of the pressure-flow curve. Anesth Analg 1996;82:1049-1055.
7. Brimioulle S, Vachiery JL, Brichant JF, et al.: Sympathetic modulation of hypoxic pulmonary vasoconstriction in intact dogs. Cardiovasc Res 1997; 34:384-392.
8. Blomberg S, Emanuelsson H, Ricksten S: Thoracic epidural anesthesia and central hemodynamics in patients with unstable angina pectoris. Anesth Analg 1989;69:558-562.
9. Tanaka K, Harada T, Dan K: Low-dose thoracic epidural anesthesia induces discrete thoracic anesthesia without reduction in cardiac output. Reg Anesth 1991;16:318-321.
10. Dossow VV, Welte M, Zaune U, et al.: Thoracic epidural anesthesia combined with general anesthesia: the preferred anesthetic technique for thoracic surgery. Anesth Analg 2001;92:848-854.
11. Revill SI, Robinson JO, Rosen M, Hogg MIJ: The reliability of a linear analogue for evaluating pain. Anaesthesia 1976;31:1191-1198.
12. Cruz JC, Metting PJ: Understanding the meaning of the shunt fraction calculation. J Clin Monit 1987;3: 124-134.
13. Cheney FW, Colley S: The effect of cardiac output on arterial blood oxygenation. Anesthesiology 1980;52: 496-503.
14. Garutti I, Cruz P, Olmedilla L, et al.: Effects of thoracic epidural meperidine on arterial oxygenation during one-lung ventilation in thoracic surgery. J Cardiothorac Vasc Anesth 2003; 17:302-305.
15. Kellow NH, Scott AD, White SA, Feneck RO: Comparison of the effects of propofol and isoflurane anaesthesia on right ventricular function and shunt fraction during thoracic surgery. Br J Anaesth 1995; 75:578-582.
16. Steegers PA, Backs PJ: Propofol and alfentanil during one-lung ventilation. J Cardiothorac Anesth 1990;4:194-199.
17. Chow MY, Goh MH, Boey SK, et al.: The effects of remifentanil and thoracic epidural on oxygenation and pulmonary shunt fraction during one-lung ventilation. J Cardiothorac Vasc Anesth 2003;17:69-72.
18. Azad SC, Groh J, Beyer D, et al.: Continuous epidural analgesia versus patient-controlled intravenous analgesia for pain therapy after thoracotomy. Anaesthesist 2000;49:9-17.
19. Fillinger MP, Yeager MP, Dodds TM, et al.: Epidural anesthesia and analgesia: effects on recovery from cardiac surgery. J Cardiothorac Vasc Anesth 2002; 16:15-20.
20. Domino KB, Eisenstein BL, Tran T, Hlastala MP: Increased pulmonary perfusion worsens ventilation-perfusion mismatch. Anesthesiology 1993;79:817-821.