Repercussão respiratória funcional após colecistectomia com incisão subcostal. Efeito analgésico da morfina
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Data
2009
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Resumo
To evaluate pulmonary function after open subcostal cholecystecomy under action of the morphine in the immediate
post-operative. Methods: 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
Results: Significant differences existed for
using a paired student-t test. A value of p < 0,05 was considered statistically significant. Results
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. Conclusion: 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.
Descrição
Palavras-chave
Testes de função respiratória, Morfina, Período pós-operatório, Colecistectomia/efeitos adversos, Respiratory function tests, Epidural, Postoperative period, Anesthesia, Cholecystectomy/adverse effects, Morphine
Citação
RAMOS, Gilson Cassem et al. Repercussao respiratoria funcional apos colecistectomia com incisão subcostal. Efeito analgésico da morfina. Revista do Colégio Brasileiro de Cirurgiões, Rio de Janeiro, v. 36, n. 2, p. 139-143, 2009.