[Postoperative analgesia by intrathecal morphine and respiratory depression: value of low doses (apropos of 285 cases)]

Agressologie. 1992:33 Spec No 1:55-7.
[Article in French]

Abstract

Morphine at very low dose gives a good post-operatory analgesia without major secondary effects. This study analyses retrospectively 285 spinal anaesthesia with hyperbaric 0.5% bupivacaine 0.2 mg.kg-1 and morphine 0.25 mg in adult urologic surgery. The analysis of enquiry in analgesic during the post-operatory period shows that in most cases (72%) the patients have supported the first 24 hours without any complementary analgesia; 28% of patients needs a complementary analgesia realized with 1 g of paracetamol. Intravenous morphinics have never been necessary in post-operative period. The analgesia was adequate for the patient's comfort, and it never mask a surgery complication. No respiratory complication appeared, even in 13 patients who needed intravenous morphinics in per-operative.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Analgesia / adverse effects
  • Analgesia / methods*
  • Anesthesia, Spinal*
  • Bupivacaine / administration & dosage
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Male
  • Middle Aged
  • Morphine / administration & dosage*
  • Pain, Postoperative / drug therapy*
  • Respiratory Insufficiency / etiology
  • Retrospective Studies

Substances

  • Morphine
  • Bupivacaine