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An intra‐operative comparison of lumbar with thoracic epidural sufentanil for thoracotomy
Author(s) -
LELY F. HAAKVAN,
KLEEF J. W.,
BURM A. G. L.,
BOVILL J. G.
Publication year - 1994
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1994.tb03366.x
Subject(s) - sufentanil , medicine , anesthesia , thoracotomy , lumbar , cardiothoracic surgery , blood pressure , surgery
Summary The efficacy of thoracic epidural sufentanil 50 μg was compared with lumbar epidural sufentanil 50 μg in 30 patients (n = 15 in each group) undergoing lateral thoracotomy. Sufentanil was administered epidurally after induction of anaesthesia with sufentanil 1 μg.kg ‐1 and thiopentone 2–5 mg.kg ‐1 intravenously. Anaesthesia, nitrous oxide 66%, halothane 0.3% and sufentanil 25 μg intravenously were given whenever the systolic arterial blood pressure increased more than 15 mmHg above the pre‐operative value and heart rate exceeded 90 beat.min ‐1 in the absence of hypovolaemia, or when other autonomic or somatic signs were seen. Four patients in the thoracic epidural group and five in the lumbar epidural group needed supplementary sufentanil. Six patients in the thoracic epidural group and three in the lumbar epidural group each had a single hypotensive episode. Lumbar and thoracic epidural sufentanil are equally effective in contributing to intra‐operative analgesia for lateral thoracotomy.