Thoracic Epidural Vs Balanced Anesthesia in Morbid Obesity

Gelman, Simon; Laws, Henry L.; Potzick, Joseph; Strong, Sandra; Smith, L. R.; Erdemir, Hamdi

doi:10.1097/00132586-198112000-00025

Cited by 17 publications

(2 citation statements)

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“…The normal postoperative increase in oxygen consumption was either unaltered [12] or inhibited [13] following pain relief with small doses of morphine and pethidine, respectively. In contrast, a single dose of fentanyl 3.5 ug kg" 1 administered immediately after operation reduced systemic oxygen uptake and splanchnic release of glucose and 3-hydroxybutyrate [14,15].…”

Section: Discussionmentioning

confidence: 97%

Effect of Patient-Controlled Analgesia on Plasma Catecholamine, Cortisol and Glucose Concentrations After Cholecystectomy

Møller¹,

Dinesen²,

Søndergård³

et al. 1988

British Journal of Anaesthesia

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To quantify the effects of postoperative pain relief on surgical stress response, 16 patients undergoing cholecystectomy were allocated randomly to double-blind treatment with either fentanyl by patient controlled analgesia (PCA) with the Prominject plus saline given s.c. by nurses on demand (PCA group) or saline by the infusion pump plus morphine 10 mg/70 kg s.c. by nurses on demand (control). Pain intensity (VAS) and plasma catecholamine, cortisol and glucose concentrations were measured 2-hourly for 12 h after operation. PCA improved postoperative pain intensity (P less than 0.05) and reduced plasma cortisol (P less than 0.05), but not glucose and catecholamine concentrations compared with the control group. Thus improved postoperative pain relief per se by PCA with systemic opioids had no major influence on the catabolic response to abdominal surgery.

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Section: Discussionmentioning

confidence: 97%

Effect of Patient-Controlled Analgesia on Plasma Catecholamine, Cortisol and Glucose Concentrations After Cholecystectomy

Møller¹,

Dinesen²,

Søndergård³

et al. 1988

British Journal of Anaesthesia

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“…Effective postoperative analgesia must be provided to allow physiotherapy and ensure early mobilization. Benefits have been shown with extradural analgesia in terms of respiratory function, cardiac protection, ambulation and early hospital discharge [30,42,48,49]. However, practical problems with siting extradurals, the requirement for fluoroscopic imaging techniques and extradural failures are encountered.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic experience of vertical banded gastroplasty

Goulding

Hovell

1995

British Journal of Anaesthesia

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We have reviewed data from 200 patients who underwent weight-reducing surgery in a district general hospital. Mean age was 38.5 yr (range 14-60 yr) and mean body mass index (BMI) 45.7 kg m-2 (range 30.0-86.8 kg m-2). There was one death, which resulted from pulmonary embolus 3 weeks after surgery. Upper abdominal surgery of this type is justified in the morbidly obese and problems were not encountered that would exclude its practice from non-specialized units.

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