首页   按字顺浏览 期刊浏览 卷期浏览 Continuous‐plus-on‐demand Epidural Infusion of Morphine for Postoperative...
Continuous‐plus-on‐demand Epidural Infusion of Morphine for Postoperative Pain Relief by Means of a Small, Externally Worn Infusion Device

 

作者: J.,   Chrubasik K.,  

 

期刊: Anesthesiology  (OVID Available online 1985)
卷期: Volume 62, issue 3  

页码: 263-267

 

ISSN:0003-3022

 

年代: 1985

 

出版商: OVID

 

关键词: Analgesics: morphine–HCl;Anesthetic technique: epidural, on-demand infusion;Pain: postoperative

 

数据来源: OVID

 

摘要:

In this study, 50 patients received an initial bolus epidural injection of 2 mg morphine–hydrochloride followed by a continuous-plus-on-demand epidural infusion of a 0.25% morphine-hydrochloride solution by means of a small, externally worn infusion device, for constant pain relief after abdominal operations. Mean morphine consumption on the operation day (until 8:00 AM on the first postoperative day) was 4.8 · 0.2 mg, on the first postoperative day (until 8:00 AM on the second postoperative day) 1.9 · 0.2 mg, and on a second postoperative day until 8:00 PM, 0.6 · 0.1 mg. The mean morphine consumption over 50 h was 7.1 · 0.3 mg; in the first 25 h and in the following 25 h after the operation, 5.44 · 0.3 mg and the significantly lower amount of 1.64 · 0.2 mg morphine, respectively, were consumed (P< 0.001). There were no serious side effects. Serum levels of free, unmetabolized morphine immunoreactivity decreased during the treatment. The described method is recommended for treating postoperative pain, as it offers constant analgesia and the possibility of individualized treatment.

 

点击下载:  PDF (413KB)



返 回