Treatment of Urinary Rstsntion due to Intrathecal Injection of Morphine.
10.4097/kjae.1985.18.3.280
- Author:
Young Jae KIM
1
;
Inn Se KIM
;
Kyoo Sub CHUNG
Author Information
1. Department of Anesthesiology, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Original Article
- MeSH:
Analgesia;
Injections, Intravenous;
Injections, Spinal*;
Morphine*;
Naloxone;
Neostigmine;
Pain, Postoperative;
Pruritus;
Respiratory Insufficiency;
Urinary Retention;
Vomiting
- From:Korean Journal of Anesthesiology
1985;18(3):280-285
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intrathecal injection of morphine is widely used for relief of postoperative pain and the method is generally considered to provide excellent analgesia. Howerver adverse side effects such as respiratory depression, pruritus, vomiting and urinary retention occur following intrathecal injection of morphine. Among the side effects, urinary retention is destressing and troublesome. We have studied the effects of naloxone and neostigmine on urinary retention following intrathecal injection of morphine for the management of postoperative pain in 60 cases. The results were as follows. 1) Mean duration of urinary retention following intrathecal injection of morphine was 24.1+/-7.4 hours. 2) There was no statistical effect of neostigmine 1.0 mg i.m. in treating urinary retention due to intrathecal injection of morphine. 3) Single or repeated intravenous injections of naloxone were successful in treating urinary retention following intrathecal injection of mrphine. To treat urinary retention, a single dose of 0.8mg naloxone was more effective than a single dose of 0.4mg naloxone.
