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The Annals of Thoracic Surgery, Vol 50, 888-893, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Continuous epidural hydromorphone for postthoracotomy pain relief

JB Brodsky, SR Chaplan, WG Brose and JB Mark
Department of Anesthesia, Stanford University School of Medicine, California.

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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