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Continuous epidural infusion of morphine for treatment of pain after thoracic surgery: a new technique.
Anesth Analg. 1984 Aug; 63(8):757-64.A&A

Abstract

We evaluated postoperative pain relief and the incidence of side effects of three methods of thoracic epidural analgesia. Ninety patients, divided into three equal groups, received postoperative analgesia after thoracic surgery either as intermittent epidural injections of bupivacaine (25 mg/5 ml, 0.5% solution) as needed, or, intermittent epidural injections of morphine (5 mg/5 ml of normal saline, 0.1% solution) as needed, or continuous epidural infusion of morphine (0.1 mg, in 1 ml of normal saline) per hour supplemented with intravenous morphine (2 mg) upon request. Pain relief was evaluated by each patient on a pain scale visual analogue and by pain relief questionnaire for a period of 72 hr. Postoperative pain relief was achieved equally with these three methods of epidural analgesia in all patients with no significant difference between groups. Intermittent epidural injection of bupivacaine relieved pain for 4.9 +/- 1.9 (SD) hr/injection and was associated with urinary retention in all patients, with numbness and weakness of the hands in 12 patients, and with severe hypotension in 7 patients. Intermittent epidural injection of morphine relieved pain for 5.8 +/- 2.3 hr/injection and was associated with urinary retention in all patients, with pruritus in 12 patients, and with central narcosis and respiratory depression in 8 patients. Continuous epidural infusion of morphine with occasional intravenous morphine (2 mg) supplementation also effectively relieved postoperative pain and was associated with minimal systemic side effects. One patient complained of pruritus, and two patients developed urinary retention.(

ABSTRACT

TRUNCATED AT 250 WORDS)

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

6465562

Citation

El-Baz, N M., et al. "Continuous Epidural Infusion of Morphine for Treatment of Pain After Thoracic Surgery: a New Technique." Anesthesia and Analgesia, vol. 63, no. 8, 1984, pp. 757-64.
El-Baz NM, Faber LP, Jensik RJ. Continuous epidural infusion of morphine for treatment of pain after thoracic surgery: a new technique. Anesth Analg. 1984;63(8):757-64.
El-Baz, N. M., Faber, L. P., & Jensik, R. J. (1984). Continuous epidural infusion of morphine for treatment of pain after thoracic surgery: a new technique. Anesthesia and Analgesia, 63(8), 757-64.
El-Baz NM, Faber LP, Jensik RJ. Continuous Epidural Infusion of Morphine for Treatment of Pain After Thoracic Surgery: a New Technique. Anesth Analg. 1984;63(8):757-64. PubMed PMID: 6465562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Continuous epidural infusion of morphine for treatment of pain after thoracic surgery: a new technique. AU - El-Baz,N M, AU - Faber,L P, AU - Jensik,R J, PY - 1984/8/1/pubmed PY - 1984/8/1/medline PY - 1984/8/1/entrez SP - 757 EP - 64 JF - Anesthesia and analgesia JO - Anesth Analg VL - 63 IS - 8 N2 - We evaluated postoperative pain relief and the incidence of side effects of three methods of thoracic epidural analgesia. Ninety patients, divided into three equal groups, received postoperative analgesia after thoracic surgery either as intermittent epidural injections of bupivacaine (25 mg/5 ml, 0.5% solution) as needed, or, intermittent epidural injections of morphine (5 mg/5 ml of normal saline, 0.1% solution) as needed, or continuous epidural infusion of morphine (0.1 mg, in 1 ml of normal saline) per hour supplemented with intravenous morphine (2 mg) upon request. Pain relief was evaluated by each patient on a pain scale visual analogue and by pain relief questionnaire for a period of 72 hr. Postoperative pain relief was achieved equally with these three methods of epidural analgesia in all patients with no significant difference between groups. Intermittent epidural injection of bupivacaine relieved pain for 4.9 +/- 1.9 (SD) hr/injection and was associated with urinary retention in all patients, with numbness and weakness of the hands in 12 patients, and with severe hypotension in 7 patients. Intermittent epidural injection of morphine relieved pain for 5.8 +/- 2.3 hr/injection and was associated with urinary retention in all patients, with pruritus in 12 patients, and with central narcosis and respiratory depression in 8 patients. Continuous epidural infusion of morphine with occasional intravenous morphine (2 mg) supplementation also effectively relieved postoperative pain and was associated with minimal systemic side effects. One patient complained of pruritus, and two patients developed urinary retention.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0003-2999 UR - https://www.unboundmedicine.com/medline/citation/6465562/Continuous_epidural_infusion_of_morphine_for_treatment_of_pain_after_thoracic_surgery:_a_new_technique_ L2 - https://Insights.ovid.com/pubmed?pmid=6465562 DB - PRIME DP - Unbound Medicine ER -