Epidural analgesia and postoperative orthostatic haemodynamic changes: Observational study

European Journal of Anaesthesiology

Volumn 30, Issue 7, 2013, Pages 398-404

  Gramigni, Elena ^a   Bracco, David ^a   Carli, Franco ^a  

^a MONTREAL GENERAL HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; DESFLURANE; FENTANYL; LIDOCAINE; PROPOFOL; ROCURONIUM; SEVOFLURANE; SUFENTANIL;

ABDOMINAL DRAIN; ABDOMINAL SURGERY; ADULT; AGED; ANALGESIA; ANTIBIOTIC PROPHYLAXIS; ARTERIAL PRESSURE; ARTICLE; BLOOD TRANSFUSION; CHEST TUBE; CONTINUOUS INFUSION; DIZZINESS; EPIDURAL ANESTHESIA; FEMALE; GENERAL ANESTHESIA; HEART RATE; HEMODYNAMICS; HUMAN; HYPOTENSION; MAJOR CLINICAL STUDY; MALE; MOBILIZATION; MUSCLE RELAXATION; NAUSEA; OBSERVATIONAL STUDY; OPERATIVE BLOOD LOSS; ORTHOSTATIC BLOOD PRESSURE; ORTHOSTATIC HYPOTENSION; PAIN ASSESSMENT; PERIOPERATIVE PERIOD; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PROSPECTIVE STUDY; PROSTATECTOMY; RECOVERY ROOM; SITTING; STANDING; SUPINE POSITION; SURGICAL PATIENT; SYSTOLIC BLOOD PRESSURE; THORACOTOMY; THORAX SURGERY; VISUAL ANALOG SCALE;

ABDOMEN; AGED; ANALGESIA, EPIDURAL; ANESTHETICS, LOCAL; BLOOD PRESSURE; BUPIVACAINE; FEMALE; FENTANYL; HEART RATE; HEMODYNAMICS; HUMANS; HYPOTENSION, ORTHOSTATIC; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; POSTOPERATIVE PERIOD; POSTURE; PROSPECTIVE STUDIES; THORACIC SURGICAL PROCEDURES;

EID: 84879175517     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0b013e32835b162c     Document Type: Article

References (21)

1. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg 2002; 183:630-641.
2. Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet 2003; 362:1921-1928.
3. Harper CM, Lyles YM. Physiology and complications of bed rest. J Am Geriatr Soc 1988; 36:1047-1054.
4. Leithauser DJ, Bergo HL. Early rising and ambulatory activity after operation: a means of preventing complications. Arch Surg 1941; 42:1086-1091.
5. Carli F, Mayo N, Klubien K, et al. Epidural analgesia enhances functional exercise capacity and health-related quality of life after colonic surgery: results of a randomized trial. Anesthesiology 2002; 97:540-549.
6. Henriksen MG, Hansen HV, Hessov I. Early oral nutrition after elective colorectal surgery: influence of balanced analgesia and enforced mobilization. Nutrition 2002; 18:263-267.
7. Wu CL, Cohen SR, Richman JM, et al. Efficacy of postoperative patientcontrolled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology 2005; 103:1079-1088; quiz 1109-1110.
8. Flisberg P, Rudin A, Linner R, Lundberg CJ. Pain relief and safety after major surgery. A prospective study of epidural and intravenous analgesia in 2696 patients. Acta Anaesthesiol Scand 2003; 47:457-465.
9. Moiniche S, Hjortso NC, Blemmer T, et al. Blood pressure and heart rate during orthostatic stress and walking with continuous postoperative thoracic epidural bupivacaine/morphine. Acta Anaesthesiol Scand 1993; 37:65-69.
10. Crawford ME, Moiniche S, Orbaek J, et al. Orthostatic hypotension during postoperative continuous thoracic epidural bupivacaine-morphine in patients undergoing abdominal surgery. Anesth Analg 1996; 83:1028- 1032.
11. Taqi A, Hong X, Mistraletti G, et al. Thoracic epidural analgesia facilitates the restoration of bowel function and dietary intake in patients undergoing laparoscopic colon resection using a traditional, nonaccelerated, perioperative care program. Surg Endosc 2007; 21:247-252.
12. Newcombe RG. Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat Med 1998; 17:857-872.
13. Cowie DA, Shoemaker JK, Gelb AW. Orthostatic hypotension occurs frequently in the first hour after anesthesia. Anesth Analg 2004; 98:40-45.
14. Ready LB. Acute pain: lessons learned from 25 000 patients. Reg Anesth Pain Med 1999; 24:499-505.
15. Tsui SL, Irwin MG, Wong CM, et al. An audit of the safety of an acute pain service. Anaesthesia 1997; 52:1042-1047.
16. Cashman JN, Dolin SJ. Respiratory and haemodynamic effects of acute postoperative pain management: evidence from published data. Br J Anaesth 2004; 93:212-223.
17. Wheatley RG, Schug SA, Watson D. Safety and efficacy of postoperative epidural analgesia. Br J Anaesth 2001; 87:47-61.
18. Licker M, Spiliopoulos A, Tschopp JM. Influence of thoracic epidural analgesia on cardiovascular autonomic control after thoracic surgery. Br J Anaesth 2003; 91:525-531.
19. Gehring JA, Hines SM, Benrud-Larson LM, et al. What is the minimum duration of head-up tilt necessary to detect orthostatic hypotension? Clin Auton Res 2005; 15:71-75.
20. White PF, Kehlet H, Neal JM, et al. The role of the anesthesiologist in fasttrack surgery: from multimodal analgesia to perioperative medical care. Anesth Analg 2007; 104:1380-1396.
21. Bradshaw BG, Liu SS, Thirlby RC. Standardized perioperative care protocols and reduced length of stay after colon surgery. J Am Coll Surg 1998; 186:501-506.