Augmentation of bupivacaine analgesia in labor by epidural morphine.

Abstract:

:The analgesic properties and motor effect of epidural 0.25% bupivacaine (8 mL) were compared with those of epidural morphine (2 mg in 10 mL saline) followed by 8 mL of 0.25% bupivacaine. The study was performed on two groups of parturients (30 in each group) in active labor. Pain relief in the morphine-bupivacaine group lasted for a mean of 131.1 minutes (SD +/- 49.8) as opposed to the plain bupivacaine group -57 minutes (SD +/- 15.28). Satisfaction from analgesia in the morphine-bupivacaine group was higher as well. Motor involvement was not seen in either group. Perineal pain relief in the postpartum period lasted for a mean of 16 hours and 40 minutes in the morphine-bupivacaine group. It was concluded that the concomitant use of epidural morphine augmented the analgesic effect of 0.25% bupivacaine without motor effect.

journal_name

Obstet Gynecol

authors

Niv D,Rudick V,Golan A,Chayen MS

doi

10.1097/00006250-198602000-00009

subject

Has Abstract

pub_date

1986-02-01 00:00:00

pages

206-9

issue

2

eissn

0029-7844

issn

1873-233X

journal_volume

67

pub_type

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