The Effects of Epidural Morphine and Bupivacaine after Upper Abdominal Surgery.
10.4097/kjae.1990.23.6.921
- Author:
Yo Taek SHIM
1
;
Hyun Kyu CHOI
;
Young Jin HAN
;
Huhn CHOE
Author Information
1. Department of Anesthesiology, Chon Buk National University Medical School, Korea.
- Publication Type:Original Article
- Keywords:
Epidural pain control;
Morphine;
Bupivaine
- MeSH:
Analgesia;
Analgesia, Epidural;
Bupivacaine*;
Hemodynamics;
Humans;
Morphine*;
Narcotics;
Nausea;
Pain, Postoperative;
Pruritus;
Respiratory Insufficiency;
Vomiting
- From:Korean Journal of Anesthesiology
1990;23(6):921-927
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Among various mehtods for postoperative pain management, epidural narcotics is one of the most prevalent techniques used by anesthesiologists. Although it is a highly effective analgesia, epidural morhpine has disadvantages such as delayed onset, nausea, vomiting, pruritus, urinary retension and even life-threatening respiratory depression. To search for a more effective analgesic mehtod with minimum side effects, we studied the effects of morphine, bupivacaine and a combination of each durg with different dosages in patients undergoing upper abdominal surgery. Hemodynamic changes, duration of analgesia, and side effects were compared. The results suggested that the combination of 2 mg of morphine and 0.125% of bupivacaine is the most effective method with minimum side effects for postoperative pain.
