CONTINUOUS EPIDURAL HYDROMORPHONE FOR POSTTHORACOTOMY PAIN RELIEF ANNALS OF THORACIC SURGERY Brodsky, J. B., Chaplan, S. R., Brose, W. G., Mark, J. B. 1990; 50 (6): 888-893

Abstract

Forty-four patients were treated with a continuous infusion of lumbar epidural hydromorphone (0.05%) after thoracic operations. Postoperatively, visual analog pain scores were obtained. On postoperative day 1 and 2, more than 90% of the patients experienced either no pain (visual analog pain scale = 0) or mild pain (visual analog pain score = 1 to 3) at rest. The incidence of side effects (hypoventilation, pruritus, and nausea) was less than reported with other epidurally administered opioids. Continuous infusion of lumbar epidural hydromorphone produced safe, predictable analgesia after thoracotomy.

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