Korean J Anesthesiol.  1990 Dec;23(6):921-927. 10.4097/kjae.1990.23.6.921.

The Effects of Epidural Morphine and Bupivacaine after Upper Abdominal Surgery

Affiliations
  • 1Department of Anesthesiology, Chon Buk National University Medical School, Korea.

Abstract

Among various mehtods for postoperative pain management, epidural narcotics is one of the most prevalent techniques used by anesthesiologists. Although it is a highly effective analgesia, epidural morhpine has disadvantages such as delayed onset, nausea, vomiting, pruritus, urinary retension and even life-threatening respiratory depression. To search for a more effective analgesic mehtod with minimum side effects, we studied the effects of morphine, bupivacaine and a combination of each durg with different dosages in patients undergoing upper abdominal surgery. Hemodynamic changes, duration of analgesia, and side effects were compared. The results suggested that the combination of 2 mg of morphine and 0.125% of bupivacaine is the most effective method with minimum side effects for postoperative pain.

Keyword

Epidural pain control; Morphine; Bupivaine

MeSH Terms

Analgesia
Analgesia, Epidural
Bupivacaine*
Hemodynamics
Humans
Morphine*
Narcotics
Nausea
Pain, Postoperative
Pruritus
Respiratory Insufficiency
Vomiting
Bupivacaine
Morphine
Narcotics
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