Urinary retention during i.m. and extradural morphine analgesia.

Abstract:

:In the postoperative period fifty-six healthy patients undergoing cholecystectomy or operations for duodenal ulcer, received, in a randomized order, i.m., "high-level" or "low-level" extradural morphine. Thirty-five per cent in the i.m. group, 33% in the high-level group and 50% in the low-level group suffered urinary retention, in all cases within the first 24 h. The mean cumulative dose of morphine necessary for pain relief was in the same range (13.4-16.5 mg) during the first 2 h of therapy for all groups, while the amounts after 24 and 48 h were twice to four times with the i.m. route compared with the extradural route. A peripheral effect of morphine on the urinary bladder is possible and the mechanism of action is discussed.

journal_name

Br J Anaesth

authors

Petersen TK,Husted SE,Rybro L,Schurizek BA,Wernberg M

doi

10.1093/bja/54.11.1175

subject

Has Abstract

pub_date

1982-11-01 00:00:00

pages

1175-8

issue

11

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)43351-4

journal_volume

54

pub_type

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