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Korean Journal of Anesthesiology ; : 563-566, 2012.
Artículo en Inglés | WPRIM | ID: wpr-36162

RESUMEN

We retrospectively report the first use of intrathecal morphine prior to incision in two male patients undergoing a complex aortic reconstruction, who required complete circulatory arrest under deep hypothermia for intraoperative and postoperative pain control. We administered intrathecal morphine to two male patients undergoing circulatory arrest and deep hypothermia. Patients were fully heparinized prior to cardiopulmonary bypass. Deep hypothermic circulatory arrest was performed by cooling the patients to 18degrees C. Following the surgery, the neurologic status was monitored. The management of postoperative pain is a quality standard in health care. During the first 24 hours after surgery, we observed excellent analgesia without the associated side effects, thus, reducing the time required for pain control by the nursing staff. A successful analgetic strategy not only enhances the patient satisfaction, but may improve the postoperative outcome. However, complications, such as increased risk of epidural hematoma formation, are of special concern in cardiac surgery.


Asunto(s)
Humanos , Masculino , Analgesia , Anestesia Raquidea , Procedimientos Quirúrgicos Cardíacos , Puente Cardiopulmonar , Paro Circulatorio Inducido por Hipotermia Profunda , Atención a la Salud , Hematoma , Heparina , Hipotermia , Morfina , Personal de Enfermería , Dolor Postoperatorio , Satisfacción del Paciente , Estudios Retrospectivos , Cirugía Torácica
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