The Effect of Thoracic Epidural Bupivacaine and an Intravenous Adrenaline Infusion on Gastric Tube Blood Flow During Esophagectomy

Gastric tube necrosis is a major cause of anastomotic leak after esophagectomy. A correlation has been shown between reduced flux at the anastomotic end of the gastric tube and anastomotic leaks. We prospectively studied the effect of intraoperative thoracic epidural bupivacaine and subsequent adren...

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Veröffentlicht in:	Anesthesia and analgesia 2008-03, Vol.106 (3), p.884-887
Hauptverfasser:	Al-Rawi, Omar Y., Pennefather, Stephen H., Page, Richard D., Dave, Ishani, Russell, Glen N.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Analgesia, Epidural - methods Anastomosis, Surgical - adverse effects Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Local - administration & dosage Biological and medical sciences Blood Flow Velocity - drug effects Blood Pressure - drug effects Bupivacaine - administration & dosage Cardiac Output - drug effects Epinephrine - administration & dosage Esophagectomy - adverse effects Female Humans Infusions, Intravenous Injections, Epidural Intraoperative Care Ischemia - etiology Ischemia - physiopathology Ischemia - prevention & control Laser-Doppler Flowmetry Male Medical sciences Prospective Studies Regional Blood Flow - drug effects Stomach - blood supply Stomach - surgery Surgically-Created Structures - blood supply Thoracic Vertebrae Vasoconstrictor Agents - administration & dosage
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