Parietal analgesia decreases postoperative diaphragm dysfunction induced by abdominal surgery: a physiologic study

Regional Anesthesia and Pain Medicine
Marc BeaussierSamir Jaber

Abstract

The postoperative analgesic strategy may influence the magnitude of the postoperative diaphragmatic dysfunction (PODD) induced by abdominal surgery. The purpose of this physiologic study was to evaluate the effect of continuous preperitoneal wound infusion (CPWI) of ropivacaine on PODD after open colorectal surgery. Twenty patients with American Society of Anesthesiologists physical status I or II undergoing open colorectal surgery were prospectively included during 2 consecutive 2-month periods. During the first period, we evaluated 10 consecutive patients who received conventional parenteral analgesia (intravenously administered morphine via patient-controlled analgesia and acetaminophen) without parietal analgesia (control group). These patients were compared with 10 consecutive patients who received conventional parenteral analgesia along with parietal analgesia using CPWI of 0.2% ropivacaine at 10 mL/hr for 48 hrs (CPWI group). Diaphragmatic function was assessed preoperatively and at 24 and 48 hrs postoperatively using the sniff nasal inspiratory pressure test (Psniff). Supplemental intravenously administered morphine boluses were administered as needed before Psniff assessments in the control group to reduce differences ...Continue Reading

References

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Citations

Nov 19, 2009·Regional Anesthesia and Pain Medicine·Henrik Kehlet, Billy B Kristensen
Oct 19, 2011·La Presse médicale·Jean-Marc Delay, Samir Jaber
Aug 30, 2014·Annales Françaises D'anesthèsie Et De Rèanimation·M BeaussierM Aissou
Sep 8, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·V MannW Padberg
Jul 9, 2010·Current Opinion in Anaesthesiology·Alain Borgeat, José Aguirre
Jul 9, 2010·Current Opinion in Anaesthesiology

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