European Journal of PainVolume 10, Issue S1 p. S197-S197 756 PATIENT CONTROLLED ANALGESIA VERSUS CONTINUOUS EPIDURAL ANALGESIA AND INTRAMUSCULAR INJECTIONS: COMPARISON OF PATIENT PAIN EXPERIENCE AND SATISFACTION AFTER ABDOMINAL SURGERY A.P. Trikoupi, A.P. Trikoupi Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorD. Vassilakos, D. Vassilakos Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorI. Soultati, I. Soultati Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorK. Andreopoulos, K. Andreopoulos Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorK. Matsi, K. Matsi Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorV. Metaxa, V. Metaxa Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorI.I. Kesisoglou, I.I. Kesisoglou Third Surgical Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorM. Giala, M. Giala Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this author A.P. Trikoupi, A.P. Trikoupi Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorD. Vassilakos, D. Vassilakos Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorI. Soultati, I. Soultati Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorK. Andreopoulos, K. Andreopoulos Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorK. Matsi, K. Matsi Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorV. Metaxa, V. Metaxa Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorI.I. Kesisoglou, I.I. Kesisoglou Third Surgical Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this authorM. Giala, M. Giala Anesthesiology Department, AHEPA University Hospital, Thessaloniki, GreeceSearch for more papers by this author First published: 13 January 2012 https://doi.org/10.1016/S1090-3801(06)60759-3Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume10, IssueS1September 2006Pages S197-S197 RelatedInformation

Tsaousi, G.; Yannacou, M.; Zouka, M.; Soultati, I.; Andreopoulos, K.; Vasilakos, D.; Giala, M. Author Information

The purpose of this study was to investigate the effect of chronic renal failure (CRF) and continuous ambulatory peritoneal dialysis (CAPD) on respiratory muscle function. Global respiratory muscle strength was assessed by measuring mouth pressures during maximum static inspiration (PIMAX) near residual volume (RV) and expiration (PEMAX) near total lung capacity (TLC), in 26 patients. Maximum pressures, spirometry and lung volumes were measured before dialysis, 4 h after the administration of 2 l of dialysate into the peritoneal cavity, and just after the next drainage. In addition, biochemical indices (urea, creatinine, sodium, potassium, calcium and phosphorus) and haematological indices (haemoglobin (Hb) and haematocrit (Hct)) were measured once before the treatment. The results showed that mean PIMAX and PEMAX were normal, with a very wide range between patients, before CAPD. However, seven patients (27%) showed a PIMAX of < 75% predicted (pred) and eight (31%) a PEMAX < 75% pred. Maximal pressures decreased significantly during CAPD and increased again after the drainage of fluid. Similarly, lung volumes were within the normal range before and decreased significantly during CAPD. The forced expiratory volume in one second to forced vital capacity (FEV1/FVC) ratio did not change. We conclude that respiratory muscle strength was preserved in the majority of the patients with chronic renal failure treated with CAPD. During CAPD, lung volumes and respiratory muscle function were decreased, demonstrating an effect of the abdominal cavity on the mechanics of the respiratory system. However, the decrease in the maximum pressures was less than 20%, indicating that CAPD is a safe procedure in patients without pre-existing pulmonary disease or uraemic pulmonary complications.(ABSTRACT TRUNCATED AT 250 WORDS)

Respiratory muscle strength during continuous ambulatory peritoneal dialysis (CAPD). N.M. Siafakas, T. Argyrakopoulos, K. Andreopoulos, G. Tsoukalas, N. Tzanakis, D. Bouros. ©ERS Journals Ltd 1995. ABSTRACT: The purpose of this study was to investigate the effect of chronic renal failure (CRF) and continuous ambulatory peritoneal dialysis (CAPD) on respir- atory muscle function. Global respiratory muscle strength was assessed by measuring mouth pressures during maximum static inspiration (PImax) near residual volume (RV) and expiration (PEmax) near total lung capacity (TLC), in 26 patients. Maximum pressures, spirometry and lung volumes were measured before dialysis, 4 h after the administration of 2 l of dialysate into the peritoneal cavity, and just after the next drainage. In addition, biochemical indices (urea, creatinine, sodium, potassium, calcium and phosphorus) and haematological indices (haemoglobin (Hb) and haematocrit (Hct)) were measured once before the treatment. The results showed that mean PImax and PEmax were normal, with a very wide range between patients, before CAPD. However, seven patients (27%) showed a PImax of <75% predicted (pred) and eight (31%) a PEmax <75% pred. Maximal pressures decreased significantly during CAPD and increased again after the drain- age of fluid. Similarly, lung volumes were within the normal range before and decreased significantly during CAPD. The forced expiratory volume in one second to forced vital capacity (FEV1/FVC) ratio did not change. We conclude that respiratory muscle strength was preserved in the majority of the patients with chronic renal failure treated with CAPD. During CAPD, lung volumes and respiratory muscle function were decreased, demonstrating an effect of the abdominal cavity on the mechanics of the respiratory system. However, the decrease in the maximum pressures was less than 20%, indicating that CAPD is a safe procedure in patients without pre-existing pulmonary disease or uraemic pulmo- nary complications. Respiratory muscle strength increased immediately after the drainage of fluid.