Value of intrathecal opioid in postoperative analgesia of non-cardiac surgery in patients with ischemic heart disease
Abstract
Introduction: Spinal analgesia constitutes a mainstay in elective surgery.
Objective: To determine the usefulness of opioids as intrathecal analgesic agents.
Method: A prospective and inferential study was carried out in 80 patients, with known chronic and stable ischemic heart disease, scheduled for elective surgery, who were divided into two groups of 40 patients: one received spinal anesthesia with meperidine at 1 mg/kg (group M) and the other with hyperbaric bupivacaine at 0.1 mg/kg plus fentanyl at 0.5 mcg/kg (group B). An analysis of the motor blockade time, postoperative analgesia and incidence of side effects was performed.
Results: In patients with meperidine, motor blockade at the end of surgery was lower and postoperative analgesia was significantly higher. No significant differences were found regarding the incidence of side effects: nausea predominated in both groups (30% and 27.5%), followed by pruritus (42.5%) with the use of meperidine and tremor (37.5%) with bupivacaine plus fentanyl.
Conclusions: Despite the predominance of meperidine as an analgesic agent, both opioids demonstrated analgesic utility in patients undergo-ing elective surgery with spinal anesthesia.
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