Abstract
While improved methods of anaesthesia during surgery have reached a high degree of reliability with minimal disturbance of physiological functions intraoperatively, the relief of pain in the postoperative period has not developed to the same level. Postoperative pain relief is a badly neglected facet of surgical care, and the fact that centrally-acting analgesics — prescribed in a stereotyped pattern — still comprise the method most widely used only reflects lack of interest in pain relief and unfamiliarity with nerve-blocking techniques.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Alexander JI, Spence AA, Parikh RK, Stuart B (1973) TheYole of airway closure in postoperative hypoxaemia. Br J Anaesth 45: 34
Anthonisen NR, Dauson J, Robertson PC, Ross WRD (1969/70) Airway closure as a function of age. Respir Physiol 8: 58
Bendixen HH, Hedley-Whyte J, Chir B, Laver MB (1963) Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation. A concept of atelectasis. N Engl J Med 269: 991
Bromage PR (1955) Spirometry in assessment of analgesia after abdominal surgery. A method of comparing analgesic drugs. Br Med J 11: 589
Bromage PR (1967) Extradural analgesia for pain relief. Br. J Anaesth 39: 721
Cleland JGP (1949) Continuous peridural and caudal analgesia in surgery and early ambulation. Northwest Med (Seattle) 48: 26
Conway CM, Payne JP (1963) Post-operative hypoxaemia and oxygen therapy. Br Med J 1: 844
Craigh DB, Wahba WM, Don HF, Couture JG, Becklake MR (1971) “Closing volume” and its relation-ships to gas exchange in seated and supine positions. J Appl Physiol 31:717
Daly WJ, Bondhurst S (1963) Direct measurement of respiratory pleural pressure changes in normal man. J Appl Physiol 18: 513
Danhof JE (1967) Pentazocine effects on gastrointestinal motor functions in man. Am J Gastroenterol 48: 295
Diament ML, Palmer KNV (1969) Postoperative changes in gas tensions of arterial blood and in ventilatory function. Lancet II: 180
Dollfuss RE, Milic-Emili J, Bates DV (1967) Regional ventilation of the lung, studied with boluses of 133Xenon. Respir Physiol 2: 234
Egbert LD, Bendixen HH (1964) Effect of morphine on breathing pattern. A possible factor in atel-ectasis. JAMA 188: 485
Gelman S, Feigenberg Z, Dintzman M, Levy E (1977) Electroenterography after cholecystectomy. Arch Surg 112: 580
Gordh T, Linderholm H, Norlander O (1958) Pulmonary function in relation to anaesthesia and sur-gery evaluated by analysis of oxygen tension of arterial blood. Acta Anaesthesiol Scand 2: 15
Green R, Dawkins M (1966) Post-operative analgesia. The use of continuous drip epidural block. Anaesthesia 21: 372
Hamilton WK, McDonald JS, Fischer HW, Bethards R (1964) Postoperative respiratory complications. A comparison of arterial gas tensions, radiographs and physical examinations. Anesthesiology 25: 607
Hansen G, Drabløs PA, Steinert R (1977) Pulmonary complications, ventilation and blood gases after upper abdominal surgery. Acta Anaesthesiol Scand 21: 211
Hedenstierna G, McCarthy G, Bergström M (1976) Airway closure during mechanical ventilation. Anesthesiology 44: 114
Hedstrand UE, Modig J (1974) Measurement and calculation of pulmonary physiological parameters. Med Progr Technol 3: 25
Holland J, Milic-Emili J, Macklem PT, Bates DV (1968) Regional distribution of pulmonary ventila-tion and perfusion in elderly subjects. J Clin Invest 47: 81
Hollmen A, Saukkonen J (1969) Zur postoperativen Schmerzausschaltung nach Oberbauchoperatio-nen. Narkotica, Intercostal blockade und Epiduralanaesthesie und deren Einfluß auf die Atmung. Anaesthesist 18: 298
Hollmén A, Saukkonen J (1971) Effect of epidural or general anaesthesia on the arterial acid-base balance, oxygenation and venous admixture in prostatectomy patients. Ann Clin Res 3: 168
Hollmén A, Saukkonen J (1972) The effects of postoperative epidural analgesia versus centrally acting opiate on physiological shunt after upper abdominal operation. Acta Anaesthesiol Scand 16: 147
Kao FF, Jalar UH (1959) The central action of lignocaine and its effect on cardiac output. Br J Pharmacol 14: 522
Knudsen J (1970) Duration of hypoxaemia after uncomplicated upper abdominal and thoraco-abdominal operations. Anaesthesia 25: 372
Laws AK (1968) Effects of induction of anaesthesia and muscle paralysis on functional residual capacity of the lungs. Can Anaesth Soc J 15: 325
Leblanc P, Ruff F, Milic-Emili J (1970) Effects of age and body position on “airway closure” in man. J Appl Physiol 28: 448
McCarthy GS (1976) The effect of thoracic extradural analgesia on pulmonary gas distribution, functional residual capacity and airway closure. Br J Anaesth 48: 243
McWhirter WR, Schmidt FH, Fredrickson EL, Steinhaus JE (1973) Cardiovascular effects of control-led lidocaine overdosage in dogs anesthetized with nitrous oxide. Anesthesiology 39: 398
Milic-Emili J, Henderson JAM, Dolovich MB, Trop D, Kaneko K (1966) Regional distribution of in-spired gas in the lung. J Appl Physiol 21: 749
Miller L, Gertel M, Fox GS, MacLean LD (1976) Comparison of effect of narcotic and epidural anal-gesia on postoperative respiratory function. Am J Surg 131: 291
Modig J (1976) Respiration and circulation after total hip replacement surgery. A comparison between parenteral analgesics and continuous epidural block. Acta Anaesthesiol Scand 20: 225
Muneyuki M, Ueda Y, Urabe N, Kato H, Shirai K, Inamoto A (1972) Oxygen breathing and Qs/Qt during postoperative pain relief in man. Can Anaesth Soc J 19: 230
Nunn JF, Payne JP (1962) Hypoxaemia after general anaesthesia. Lancet 11: 631
Öhrn PG (1976) Postoperative gastrointestinal propulsion. The role of sympathoadrenal activity studied in the rat. Acta Univ. Upsaliensis Abstracts of Uppsala Dissertations from the Faculty of Medicine. Vol. 242
Palmer KNV, Gardiner AJS (1964) Effect of partial gastrectomy on pulmonary physiology. Br Med J 1: 347
Palmer KNV, Gardiner AJS, McGregor MH (1965) Hypoxaemia after partial gastrectomy. Thorax 20: 73
Renck H (1969) The elderly patient after anaesthesia and surgery. Acta Anaesthesiol Scand [Suppl] 34
Simpson BR, Parkhouse J, Marshall R, Lambrechts W (1961) Extradural analgesia and the prevention of postoperative respiratory complications. Br J Anaesth 33: 628
Sjogren S, Wright B (1972) Circulation, respiration and lidocaine concentration during continuous epidural blockade. Acta Anaesthesiol Scand [Suppl] 46
Spence AA, Smith G (1971) Postoperative analgesia and lung function: A comparison of morphine with extradural block. Br J Anaesth 43: 144
Stephen CR, Talton J (1965) Hypoxaemia in the postoperative period. JAMA 191: 139
Thompson DS, Eason CN (1970) Hypoxaemia immediately after operation. Am J Surg 120: 649
Wahba WM, Craig DB, Don HF, Becklake MR (1972) The cardiorespiratory effects of thoracic epidural anaesthesia. Can Anaesth Soc J 19: 8
Wahba WM, Don HF, Craig DB (1975) Post-operative epidural analgesia: effects on lung volumes. Can Anaesth Soc J 22: 519
Wulff K, Arborelius M, Rosberg B (1975) Regional lung function following prosthetic hip replacement surgery. Eur J Intensive Care Med 1: 129
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1980 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Modig, J. (1980). The Benefits of Intraoperative Epidural Anaesthesia Prolonged into the Postoperative Period with Main Emphasis on Pulmonary Function. In: Wüst, H.J., Zindler, M. (eds) Neue Aspekte in der Regionalanaesthesie 1. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 124. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67384-9_23
Download citation
DOI: https://doi.org/10.1007/978-3-642-67384-9_23
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-09500-2
Online ISBN: 978-3-642-67384-9
eBook Packages: Springer Book Archive