Intrathecal morphine is superior to intravenous PCA in patients undergoing minimally invasive cardiac surgery

Annals of Cardiac Anaesthesia

Volumn 15, Issue 2, 2012, Pages 122-127

  Mukherjee, Chirojit ^a   Koch, Eva ^a   Banusch, Joergen ^a   Scholz, Markus ^a   Kaisers, Udo X ^a   Ender, Joerg ^a  

^a UNIVERSITY OF LEIPZIG   (Germany)

Author keywords

fast track anesthesia; Intrathecal morphine; minimally invasive cardiac surgery

Indexed keywords

MORPHINE; PIRITRAMIDE;

ADULT; ARTICLE; CONTROLLED STUDY; DOSE RESPONSE; DRUG EFFECT; DRUG EFFICACY; EXTUBATION; FEMALE; GENERAL ANESTHESIA; HEART SURGERY; HUMAN; INFORMED CONSENT; LOW DRUG DOSE; LUMBAR PUNCTURE; MAJOR CLINICAL STUDY; MALE; MINIMALLY INVASIVE SURGERY; MITRAL VALVE REPAIR; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE ANALGESIA; RANDOMIZED CONTROLLED TRIAL; RECOVERY ROOM; SURGICAL TECHNIQUE; TRICUSPID VALVE REPAIR;

AGED; AIRWAY EXTUBATION; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS, OPIOID; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; CONSCIOUS SEDATION; DATA INTERPRETATION, STATISTICAL; ENDPOINT DETERMINATION; FEMALE; HUMANS; INJECTIONS, SPINAL; MALE; MIDDLE AGED; MITRAL VALVE; MORPHINE; PAIN MEASUREMENT; PIRINITRAMIDE; POSTOPERATIVE CARE; PREANESTHETIC MEDICATION; SAMPLE SIZE; SURGICAL PROCEDURES, MINIMALLY INVASIVE; TRICUSPID VALVE;

EID: 84860486425     PISSN: 09719784     EISSN: 09745181     Source Type: Journal    
DOI: 10.4103/0971-9784.95075     Document Type: Article

References (15)

1. Chaney MA. Intrathecal and epidural anesthesia and analgesia for cardiac surgery. Anesth Analg 2006;102:45-64. (Pubitemid 43038281)
2. Weissman C. Pulmonary complications after cardiac surgery. Semin Cardiothorac Vasc Anesth 2004;8:185-211. (Pubitemid 39332374)
3. Bettex DA, Schmidlin D, Chassot PG, Schmid ER. Intrathecal sufentanilmorphine shortens the duration of intubation and improves analgesia in fast-track cardiac surgery. Can J Anesth 2002;49:711-7. (Pubitemid 35203676)
4. dos Santos LM, Santos VC, Santos SR, Malbouisson LM, Carmona MJ. Intrathecal morphine plus general anesthesia in cardiac surgery: effects on pulmonary function, postoperative analgesia, and plasma morphine concentration. Clinics (Sao Paulo). 2009;64;279-85
5. Jacobsohn E, Lee TW, Amadeo RJ, Syslak PH, Debrouwere RG, Bell D, et al. Low-dose intrathecal morphine does not delay early extubation after cardiac surgery. Can J Anesth 2005;52:848-57. (Pubitemid 41723661)
6. Ender J, Borger MA, Scholz M, Funkat AK, Anwar N, Sommer M, et al. Cardiac surgery fast-track treatment in a postanesthetic care unit: six-month results of the Leipzig fast-track concept. Anesthesiology 2008;109:61-6.
7. Kumar N, Rowbotham DJ: Piritramide. Br J Anaesth 1999;82:3-5 (Pubitemid 29043118)
8. Mehta Y, Kulkarni V, Juneja R, Sharma KK, Mishra Y, Raizada A, et al. Spinal (subarachnoids) morphine for off-pump coronary artery bypass surgery. Heart Surg Forum 2004;7:E205-10.
9. Chaney MA, Smith KR, Barclay JC, Slogoff S. Large-dose intrathecal morphine for coronary artery bypass grafting. Anesth Analg 1996;83:215-22. (Pubitemid 26255807)
10. Rathmell JP, Lair TR, Nauman B. The role of intrathecal drugs in the treatment of acute pain. Anesth Analg 2005;101(5 Suppl):S30-43. (Pubitemid 41513156)
11. Greene NM. Distribution of local anesthetic solutions within the subarachnoid space. Anesth Analg 1985;64:715-30. (Pubitemid 15064916)
12. Lin N, Bebawy JF, Hua L, Wang BG. Is spinal anesthesia at L2-L3 interspace safe in disorders of the vertebral column? A magnetic resonance imaging study. Br J Anaesth 2010;105:857-62.
13. Kissin I. Preemptive analgesia. Anesthesiology 2000;93:1138-43.
14. Ong CK, Lirk P, Seymour RA, Jenkins BJ. The efficacy of preemptive analgesia for acute postoperative pain management: A meta analysis. Anesth Analg 2005;100:757-73 (Pubitemid 40300075)
15. Breitfeld C, Peters J, Vockel T, Lorenz C, Eikermann M. Emetic effects of morphine and piritramide. Br J Anaesth 2003;91:218-23. (Pubitemid 36950196)