Observations on extradural morphine analgesia in various pain conditions.

Abstract:

:We report the extradural administration of low-dose morphine in 10 ml of 10% dextrose (2-3 mg) to 98 adult patients with various types of acute and chronic pain. Extradural morphine injections were given either via a Tuohy needle (single or repeat injection) or via an extradural catheter. Pain relief was evaluated by subjective scoring and by the subsequent need for systemic analgesics. In 56% of patients, pain relief was considered good or excellent, in 24% it was fair, and in 20%, poor. The best results were after surgery and trauma and in patients with advanced peripheral vascular disease. The analgesia of each dose of extradural morphine lasted for 8 h (mean range 4-36 h). There was no motor, sensory or sympathetic blockade and no respiratory or haemodynamic complications. Dizziness and vomiting occurred in two patients, and urinary retention for about 12 h in three.

journal_name

Br J Anaesth

authors

Magora F,Olshwang D,Eimerl D,Shorr J,Katzenelson R,Cotev S,Davidson JT

doi

10.1093/bja/52.3.247

subject

Has Abstract

pub_date

1980-03-01 00:00:00

pages

247-52

issue

3

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)47254-0

journal_volume

52

pub_type

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