Epidural analgesia in thoracic trauma

effects of lumbar morphine and thoracic bupivacaine on pulmonary function

R. S. Cicala, G. R. Voeller, T. Fox, T. C. Fabian, K. Kudsk, E. C. Mangiante

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Changes in pulmonary function tests were compared in 14 thoracic trauma patients, of whom seven received thoracic epidural bupivacaine for analgesia and seven received lumbar epidural morphine. In both groups epidural analgesia decreased subjective pain levels when compared to parenteral narcotics which the patients received before epidural catheter placement. Patients in the bupivacaine group had statistically significant improvements in vital capacity and forced expiratory volume, and a decreased respiratory rate. Patients in the morphine group had no significant change in pulmonary function. The use of thoracic epidural bupivacaine for analgesia in post-traumatic chest injuries produced superior improvement in pulmonary function when compared to lumbar epidural morphine.

Original languageEnglish (US)
Pages (from-to)229-231
Number of pages3
JournalCritical Care Medicine
Volume18
Issue number2
DOIs
StatePublished - Jan 1 1990

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Epidural Analgesia
Bupivacaine
Morphine
Thorax
Lung
Wounds and Injuries
Thoracic Injuries
Respiratory Function Tests
Narcotics
Vital Capacity
Forced Expiratory Volume
Respiratory Rate
Catheters
Pain

All Science Journal Classification (ASJC) codes

  • Critical Care and Intensive Care Medicine

Cite this

Epidural analgesia in thoracic trauma : effects of lumbar morphine and thoracic bupivacaine on pulmonary function. / Cicala, R. S.; Voeller, G. R.; Fox, T.; Fabian, T. C.; Kudsk, K.; Mangiante, E. C.

In: Critical Care Medicine, Vol. 18, No. 2, 01.01.1990, p. 229-231.

Research output: Contribution to journalArticle

Cicala, R. S. ; Voeller, G. R. ; Fox, T. ; Fabian, T. C. ; Kudsk, K. ; Mangiante, E. C. / Epidural analgesia in thoracic trauma : effects of lumbar morphine and thoracic bupivacaine on pulmonary function. In: Critical Care Medicine. 1990 ; Vol. 18, No. 2. pp. 229-231.
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