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