モルヒネ硬膜外投与の術後の呼吸に対する影響

• 青江 知彦

  千葉大学医学部麻酔学教室

• 高地 哲夫

  千葉大学医学部麻酔学教室

• 水口 公信

  千葉大学医学部麻酔学教室

書誌事項

タイトル別名

• Effect of epidural morphine on post-operative respiration.

抄録

The respiratory effect of epidural morphine injection was assessed after minor gynecological surgery and was compared to that of intramuscular pentazocine injection. Patients received either morphine or pentazocine immediately after the emergence from anesthesia and the respiratory status of each subject was monitored for 6 hours there-after with the aid of respiratory inductive plethysmography (RIP). Although minute volume and PaCO₂ were not significantly changed on intermittent measurements, cotinuous monitoring by RIP revealed several transient episodes of hypopnea in the epidural morphine group. In the intramuscular pentazocine group, the inadequate pain relief seemed to cause respiratory stimulation. In addition, transient hypopnea was also seen in the latter group. These results suggest that possible risks of transient ventilatory disturbance may exist following epidural mophine. Thus, continuous monitoring tech-nique such at RIP would be useful for assessment of respiratory status in patients who receive epidural morphine.

収録刊行物

• 日本臨床麻酔学会誌

  日本臨床麻酔学会誌 11 (1), 61-68, 1991

  日本臨床麻酔学会

詳細情報

• CRID: 1390001204759046528
• NII論文ID: 130003580723
• DOI: 10.2199/jjsca.11.61
• ISSN: 13499149
• ISSN: 02854945
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可