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[Perioperative managements of the patients with cancer-pain receiving morphine].
Masui. 1998 Sep; 47(9):1122-7.M

Abstract

In the patients receiving morphine preoperatively, it is preoperatively important to avoid withdrawal symptoms postoperatively and to suppress postoperative pain and to maintain an appropriate anesthetic depth during the operation. We experienced six patients who had been under preoperative pain control with oral and/or epidural morphine and undergone palliative operation for their cancer pain. Four of the patients were preoperatively administered with oral morphine ranging from 30 to 270 mg.day-1. One patient was given epidural morphine 10 mg.day-1. Another was with morphine 1800 mg.day-1 orally and 50 mg.day-1 epiduraly. In all cases, general anesthesia was maintained with inhalation anesthetics. Anesthetic supplementation and postoperative pain management were performed with continuous i.v. infusion of morphine (half dosage of daily oral dosage), or subcutaneous injection (one sixth dosage of daily oral morphine) while preoperative epidural morphine was continued throughout the perioperative period. We were able to manage these patients well and none of them developed withdrawal symptom or increased postoperative pain.

Authors+Show Affiliations

Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

9785791

Citation

Matsuda, M, et al. "[Perioperative Managements of the Patients With Cancer-pain Receiving Morphine]." Masui. the Japanese Journal of Anesthesiology, vol. 47, no. 9, 1998, pp. 1122-7.
Matsuda M, Murakawa K, Noma K, et al. [Perioperative managements of the patients with cancer-pain receiving morphine]. Masui. 1998;47(9):1122-7.
Matsuda, M., Murakawa, K., Noma, K., Uemura, Y., Maeda, S., & Tashiro, C. (1998). [Perioperative managements of the patients with cancer-pain receiving morphine]. Masui. the Japanese Journal of Anesthesiology, 47(9), 1122-7.
Matsuda M, et al. [Perioperative Managements of the Patients With Cancer-pain Receiving Morphine]. Masui. 1998;47(9):1122-7. PubMed PMID: 9785791.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perioperative managements of the patients with cancer-pain receiving morphine]. AU - Matsuda,M, AU - Murakawa,K, AU - Noma,K, AU - Uemura,Y, AU - Maeda,S, AU - Tashiro,C, PY - 1998/10/24/pubmed PY - 1998/10/24/medline PY - 1998/10/24/entrez SP - 1122 EP - 7 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 47 IS - 9 N2 - In the patients receiving morphine preoperatively, it is preoperatively important to avoid withdrawal symptoms postoperatively and to suppress postoperative pain and to maintain an appropriate anesthetic depth during the operation. We experienced six patients who had been under preoperative pain control with oral and/or epidural morphine and undergone palliative operation for their cancer pain. Four of the patients were preoperatively administered with oral morphine ranging from 30 to 270 mg.day-1. One patient was given epidural morphine 10 mg.day-1. Another was with morphine 1800 mg.day-1 orally and 50 mg.day-1 epiduraly. In all cases, general anesthesia was maintained with inhalation anesthetics. Anesthetic supplementation and postoperative pain management were performed with continuous i.v. infusion of morphine (half dosage of daily oral dosage), or subcutaneous injection (one sixth dosage of daily oral morphine) while preoperative epidural morphine was continued throughout the perioperative period. We were able to manage these patients well and none of them developed withdrawal symptom or increased postoperative pain. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/9785791/[Perioperative_managements_of_the_patients_with_cancer_pain_receiving_morphine]_ DB - PRIME DP - Unbound Medicine ER -