Small Dose Intrathecal Morphine for Post-cesarean Analgesia.
10.4097/kjae.2002.42.5.641
- Author:
Ae Ra KIM
1
;
Myung Ho KIM
Author Information
1. Department of Anesthesiology, Keimyung University School of Medicine, Daegu, Korea. aera420@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Cesarean section;
morphine;
spinal analgesia
- MeSH:
Analgesia*;
Bupivacaine;
Cesarean Section;
Female;
Fentanyl;
Glucose;
Humans;
Incidence;
Morphine*;
Nalbuphine;
Nausea;
Patient Satisfaction;
Pregnancy;
Pruritus;
Vomiting
- From:Korean Journal of Anesthesiology
2002;42(5):641-645
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The aim of this study is to compare duration of analgesia and incidence of adverse effects between two doses of intrathecal morphine in patients after elective ceasrean section. METHODS: Group 1 (n = 31) received morphine 0.1 mg and group 2 (n = 28) received morphine 0.2 mg in addition to intrathecal dose of 2.0 ml of 0.5% bupivacaine in 8% dextrose and fentanyl 15ng. RESULTS: In both groups 1 and 2, excellent postoperative analgesia with long duration was obtained (19.4 +/- 10.1 and 20.5 +/- 11.3 hours, respectively). Fourteen patients (45.2%) in group 1 and 12 patients (42.9%) in group 2 developed mild pruritus that did not require treatment except one patient in group 2 who received nalbuphine 5 mg iv. Incidences of postopertaive nausea or vomiting were not significantly different between the two groups. CONCLUSIONS: Both small doses intrathecal morphine of 0.1 mg and 0.2 mg provided adequate analgesia and patient satisfaction postoperatively with same incidences of side effects.
