Korean J Anesthesiol.  1994 Nov;27(11):1680-1685. 10.4097/kjae.1994.27.11.1680.

The Comparative Study of the Intrathecal Morphine Injection and Epidural Bupivacaine with Morphine Mixture Administration for Post - Operative Pain Relief

• Jang TY
• Kim JI
• Ban JS
• Min BW

• KMID: 2236940
• DOI: http://doi.org/10.4097/kjae.1994.27.11.1680

Abstract

There are many methods for postoperative pain relief. For example,intramusoular or in- travenous administration of analgesics,nerve block,wound infiltration or intravenous injaction with local anesthetics, epidural or intrathecal injection of opioids or local anesthetics, TENS, cryoanalgesia, psychological support are available, We managed postoperative pain by means of intrathecal morphine injection or epidural morphine with bupivacaine mixture administration. In the group 1, morphine 0.2mg was injected intrathecally just after the operation. In the group 2, the mixture of morphine with bupivacaine was infused into epidural space continuously for 3days. The results were as follows; 1. The pain score was significantly decreased in group 2 compared to group 1.(P<0.05) 2. In group 1,there was signficantly more itehing sensation than in group 2.(P<0.05), but there were no significst differences in other complications 3. There was no significant difference in gas passing time. 4. The feeling of satisfaction was high in both groups,and there was no significant difference. 5. It was technically more difficult and the cost was higher in group 2.

Keyword

Postoperative pain relief; Intrathecal; Epidural morphine

MeSH Terms

Analgesics, Opioid
Anesthetics, Local
Bupivacaine*
Epidural Space
Injections, Spinal
Morphine*
Pain, Postoperative
Sensation
Transcutaneous Electric Nerve Stimulation
Analgesics, Opioid
Anesthetics, Local
Bupivacaine
Morphine