Original contributionEffects of intrathecal opioid on extubation time, analgesia, and intensive care unit stay following coronary artery bypass grafting☆
References (18)
Pro: early extubation after cardiac surgery decreases intensive care unit stay and cost
J Cardiothorac Vasc Anesth
(1995)- et al.
Cost-effectiveness and predictors of early extubation
Ann Thorac Surg
(1995) - et al.
Intrathecal morphine in open heart surgery [Letter]
Lancet
(1980) - et al.
Intrathecal morphine in the management of pain following cardiac surgery. A comparison with morphine iv
Br J Anaesth
(1988) - et al.
The role of intrathecal morphine in the anesthetic management of patients undergoing coronary artery bypass surgery
J Cardiothorac Anesth
(1987) - et al.
Present state of extradural and intrathecal opioid analgesia in Sweden. A nation-wide follow-up survey
Br J Anaesth
(1987) - et al.
Cost analysis of early vs. conventional extubation post coronary artery bypass graft (CABG) surgery: a prospective randomized controlled study [Abstract]
Anesth Analg
(1995) - et al.
Cardiovascular intensive care unit (CVICU) utilization and service cost following early tracheal extubation practice post cardiac surgery [Abstract]
Anesth Analg
(1995) - et al.
Economic rationale for early extubation
J Cardiotharac Vasc Anesth
(1995)
Cited by (32)
Effectiveness of combined regional-general anesthesia for reducing mortality in coronary artery bypass: Meta-analysis
2016, Brazilian Journal of AnesthesiologyShould Thoracic Epidural/Spinal Analgesia be Used for Coronary Artery Bypass Grafting?
2013, Evidence-Based Practice of AnesthesiologySpinal Analgesia in Cardiac Surgery: A Meta-analysis of Randomized Controlled Trials
2009, Journal of Cardiothoracic and Vascular AnesthesiaAnalgesia Best Practice After Cardiac Surgery
2008, Anesthesiology ClinicsCitation Excerpt :Intrathecal morphine is a potentially simple technique that can provide prolonged analgesia with a single injection. Many studies have examined the use of intrathecal opioid analgesia, describing doses of morphine ranging from 70 to 600 microgram per kilogram [58–66]. There is consistent agreement regarding the potential for intrathecal morphine to attenuate stress responses and provide quality analgesia, but there is much debate about the correct dose that can facilitate early extubation.
Emerging Nurse-Sensitive Outcomes and Evidence-Based Practice in Postoperative Cardiac Patients
2007, Critical Care Nursing Clinics of North AmericaA combination of intrathecal morphine and remifentanil anesthesia for fast-track cardiac anesthesia and surgery
2002, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :In this study, the authors used 2 mg of intrathecal morphine to ensure adequate postoperative analgesia, provided that early tracheal extubation would not be compromised. These findings are consistent with a study by Shroff et al,23 who reported that extubation times were significantly shorter with intrathecal anesthesia compared with high-dose fentanyl technique. Shroff et al23 showed that the intrathecal technique permitted tracheal extubation on average within 3 hours after surgery.
- ☆
Supported by the Office of Research and Development, Department of Veterans Affairs, Washington, D.C.
- ∗
Acting Assistant Professor of Anesthesiology.
- †
Associate Professor of Anesthesiology.