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[Epidural anesthesia with high dose fentanyl for thoracic surgeries]
T Matsukawa1, T Yamaguchi, T Kumazawa
1Department of Anesthesiology, Yamanashi Medical College.
Masui. the Japanese Journal of Anesthesiology
|December 1, 1991
Summary
High-dose epidural fentanyl anesthesia is effective for thoracic surgeries. The addition of epinephrine did not alter outcomes, with rapid recovery and stable hemodynamics observed in patients.
Area of Science:
- Anesthesiology
- Thoracic Surgery
Background:
- Epidural anesthesia with high-dose fentanyl is utilized for major surgeries.
- Thoracic procedures require careful anesthetic management for hemodynamic stability and rapid recovery.
Purpose of the Study:
- To evaluate the efficacy and safety of epidural high-dose fentanyl anesthesia for elective thoracic surgeries.
- To assess the impact of epinephrine on fentanyl's anesthetic effects and patient recovery.
Main Methods:
- Twenty-two patients undergoing thoracic surgeries received epidural fentanyl (10 µg/kg) with or without epinephrine.
- Anesthesia was maintained with nitrous oxide (66%) and enflurane (0.2-0.8%).
- Hemodynamic parameters and recovery times were monitored.
Main Results:
- No significant differences were observed between groups receiving fentanyl with or without epinephrine.
- A 30% reduction in systolic and diastolic pressures and heart rate was noted during surgery.
- Patients experienced rapid recovery, with naloxone administered to 6 patients requiring respiratory support.
Conclusions:
- Epidural high-dose fentanyl anesthesia provides effective and safe pain management for thoracic surgeries.
- Epinephrine does not appear to significantly influence the anesthetic or recovery profile.
- The anesthetic technique facilitates rapid recovery with stable hemodynamics.