[Functional respiratory repercussion in opened subcostal cholecystectomy: analgesic effect of morphine].
OBJECTIVE
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 using a paired student-t test. A value of p < 0,05 was considered statistically significant.


RESULTS
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.


CONCLUSIONS
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.
Ramos
Gilson Cassem
GC
Programa de Pós-Graduação em Ciências da Saúde da UnB-DF - BR. gilson.ramos@terra.com.br
Pereira
Edísio
E
Gabriel Neto
Salustiano
S
Oliveira
Enio Chaves de
EC
D000328:Adult; D000701:Analgesics, Opioid / Q000494:pharmacology*; D002763:Cholecystectomy / Q000379:methods*; D005541:Forced Expiratory Volume / Q000187:drug effects*; D006801:Humans; D009020:Morphine / Q000494:pharmacology*; D011446:Prospective Studies; D014797:Vital Capacity / Q000187:drug effects*
D000701:Analgesics, Opioid; D009020:Morphine