Article

[Functional respiratory repercussion in opened subcostal cholecystectomy: analgesic effect of morphine].

Programa de Pós-Graduação em Ciências da Saúde da UnB-DF - BR.
Revista do Colégio Brasileiro de Cirurgiões 04/2009; 36(2):139-43. pp.139-43
Source: PubMed

ABSTRACT To evaluate pulmonary function after open subcostal cholecystecomy under action of the morphine in the immediate post-operative.
This was a prospective study, in which the post-operative spirometries of fifteen patients who underwent open subcostal cholecystectomies which received peridural morphine anesthesia. Post- and pre-operative data were compared using a paired student-t test. A value of p < 0,05 was considered statistically significant.
Significant differences existed for the Forced Vital Capacity variable (p = 0,007) and Forced Expiratory Volume in the first second (p = 0,008) between pre- and immediate post-operative, indicating restrictive ventilatory disturbances. All of the patients presented normal espirometries in the third day of post-operative.
Even under action morphine peridural analgesia, in the immediate post-operative, light restrictive post-cholecystectomy ventilatory disturbances were observed. However, it was observed abbreviated recovery of pulmonary function, which may lower post-operative pulmonary morbidity.

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Keywords

abbreviated recovery
 
action morphine peridural analgesia
 
Forced Expiratory Volume
 
Forced Vital Capacity variable
 
light restrictive post-cholecystectomy ventilatory disturbances
 
lower post-operative pulmonary morbidity
 
normal espirometries
 
open subcostal cholecystecomy
 
open subcostal cholecystectomies
 
paired student-t test
 
patients
 
post-operative spirometries
 
pre-operative data
 
prospective study
 
pulmonary function
 
received peridural morphine anesthesia
 
restrictive ventilatory disturbances
 
statistically significant
 
third day