| Title |
Potorakotominis intratekalinis skausmo malšinimas morfinu / |
| Translation of Title |
Intrathecal morphine for post-thoracotomy pain relief. |
| Authors |
Miliauskas, Povilas ; Tikuišis, Renatas ; Cicėnas, Saulius ; Žurauskas, Aleksas ; Samalavičius, Narimantas Evaldas |
| DOI |
10.15388/LietChirur.2007.3.2190 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija. 2007, T. 5, Nr. 3, p. 255-259.. ISSN 1392-0995 |
| Keywords [eng] |
Post-thoracotomy pain ; Intrathecal analgesia ; Intravenous analgesia |
| Abstract [eng] |
Background/objective. Post-thoracotomy pain is one of the most severe types of post-operative pain. Intrathecal morphine has been shown to provide superior pain control within the first postoperative day compared with intravenous morphine after thoracotomy. Methods. In this study, we compared the analgesic effect of lumbar intrathecal 0.5 mg morphine (IT group, n = 40) given before general anaesthesia and analgesia with intravenous morphine 3 mg/h (group IV, n = 40). Additionally, ketorolac was injected on request. The intensity of pain was assessed 2, 4, 8, 16 and 24 hours after extubation by visual analog scale (VAS = 1–10) at rest and on coughing. Results Analgesia at rest and while coughing was significantly better in the IT group on the first postoperative day. Ketorolac consumption was lower in the IT group. Nausea, vomiting and respiratory depression were more frequent in the IV group. Conclusions. These results show that intrathecal analgesia compared with IV morphine improved pain control after thoracotomy on the first postoperative day. |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2007 |
| CC license |
|
