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2000, Number 1

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Rev Mex Anest 2000; 23 (1)

Postoperative Analgesia with Epidural infusion of Morphine in post-cesarean patients

Córdova AJ, Hernandez FP, Nava LE

Language: Spanish
References: 18
Page: 20-24
PDF size: 3594.92 Kb.


ABSTRACT

Introduction: The pain is an unpleasant, sensorial and emotional experience related to the real or potential damage to the tissues, and its treatment is difficult and controversial. An important advance in its treatment was the discovery of opioid receptors in the spinal medulla and the use of spinal and epidural opioids has been good received for the routinely use. Objective: evaluate the analgesia quality and the safety of morphine in infusion in post-cesarean patients as well as the incidence of associated secondary or adverse effects. Material and Methods: Three group of patients 18 - 40 years old (n = 10 each), randomly assigned to receive epidural infusion of morphine 2, 4 or 6 mg respectively were studied, and postoperative pain was evaluated with the visual analogue scale, 24 hours after the beginning of the epidural infusion. Results: the VAS, founded for all the patients was 0 - 3, independent of the epidural morphine regimen used. Analgesia was reported as excellent for the 56.6% of the patients, good for 36.6%, regular for 6.6% and no good for 0%. Prurito appeared in 73%, nausea in 50% somnolence in 46% and urinary retention in 46% for all patients. Conclusion: the use of morphine for epidural infusion at low doses plus the complementary analgesic provides a great relief of the pain, with minimal collateral effects.


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