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Ann Thorac Surg 1990;50:888-893
© 1990 The Society of Thoracic Surgeons

Articles

Continuous epidural hydromorphone for postthoracotomy pain relief

Jay B. Brodsky, MD*, Sandra R. Chaplan, MD, William G. Brose, MD, James B.D. Mark, MD

Division of Thoracic Surgery, Departments of Anesthesia and Surgery, Stanford University School of Medicine, Stanford, California USA

Accepted for publication April 27, 1990.

* Address reprint requests to Dr Brodsky, Department of Anesthesia, Stanford University Medical Center, Stanford, CA 94305.

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, pruritis, 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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