Epidural morphine plus ketamine for upper abdominal surgery: Improved analgesia from preincisional versus postincisional administration

Anesthesia and Analgesia

Volumn 84, Issue 3, 1997, Pages 560-563

  Choe, Huhn ^a   Choi, Young Soon ^a   Kim, Yun Hee ^a   Ko, Seong Hoon ^a   Choi, Hyun Gyu ^a   Han, Young Jin ^a   Song, He Sun ^a  

^a Chonbuk National University Medical School   (South Korea)

Author keywords

[No Author keywords available]

Indexed keywords

KETAMINE; MORPHINE;

ABDOMINAL SURGERY; ADULT; AGED; ANALGESIC ACTIVITY; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; EPIDURAL ANESTHESIA; EPIDURAL DRUG ADMINISTRATION; HUMAN; MAJOR CLINICAL STUDY; NAUSEA; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PREOPERATIVE PERIOD; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL; SOMNOLENCE; URINE RETENTION; VOMITING;

ABDOMINAL PAIN; ADULT; AGED; ANALGESIA, EPIDURAL; DRUG ADMINISTRATION SCHEDULE; HUMANS; KETAMINE; MIDDLE AGED; MORPHINE; PALLIATIVE CARE; POSTOPERATIVE PERIOD;

EID: 0031046314     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000539-199703000-00017     Document Type: Article

References (25)

1. Woolf CJ, Chong MS. Preemptive analgesia - treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg 1993;77:362-79.
2. Besson J-M, Chaouch A. Peripheral and spinal mechanism of nociception. Physiol Rev 1987;67:67-186.
3. Dickenson AH. Spinal cord pharmacology of pain. Br J Anaesth 1995;75:193-200.
4. Pockett S. Spinal cord synaptic plasticity and chronic pain. Anesth Analg 1995;80:173-9.
5. Rogawski MA. Therapeutic potential of excitatory amino acid antagonists: channel blocks and 2,3-benzodiazepines. Trends Pharmacol Sci 1993;14:325-31.
6. Dickenson AH. A cure for wind-up: NMDA receptor antagonists as potential analgesics. Trends Pharmacol Sci 1990;11: 307-9.
7. Yamamoto T, Yaksh TL. Studies on the spinal interactions of morphine and the NMDA antagonists MK-801 on the hyperesthesia observed in a rat model of sciatic mononeuropathy. Neurosci Lett 1992;135:67-70.
8. Pryle BJ, Vanner RG, Enriquez N, Reynolds F. Can pre-emptive epidural blockade reduce postoperative pain following lower abdominal surgery? Anesthesia 1993;48:120-3.
9. Dahl JB, Hansen BL, Hjortro NC, et al. Influence of timing on the effect of continuous extradural analgesia with bupivacaine and morphine after major abdominal surgery. Br J Anaesth 1992;69: 4-8.
10. Dierking GW, Dahl JB, Kanstrup J, et al. Effect of pre-vs postoperative inguinal field block on postoperative pain after herniorrhapy. Br J Anaesth 1992;68:344-8.
11. Richmond CE, Bromley LM, Woolf CJ. Preoperative morphine preempts postoperative pain. Lancet 1993;342:73-5.
12. Ready BL, Edwards WT. Management of acute pain: a practical guide. Seattle: IASP Publications, 1992.
13. Islas J-A, Astorga J, Laredo M. Epidural ketamine for control of postoperative pain. Anesth Analg 1985;64:1161-2.
14. Wall PD. The prevention of post-operative pain. Pain 1988;33: 289-90.
15. Kitahata LM, Taub A, Kosaka Y. Lamina-specific suppression of dorsal horn unit activity by ketamine hydrochloride. Anesthesiology 1973;38:4-11.
16. Kinck AD, Ngai SH. Opiate receptor mediation of ketamine analgesia. Anesthesiology 1982;56:291-7.
17. Rabat F, Dorne R, Baechile JP, et al. Epidural ketamine or morphine for postoperative analgesia. Anesthesiology 1987;66: 819-22.
18. Kawana Y, Sato H, Shimada H, et al. Epidural ketamine for postoperative pain relief after gynecologic operations: a double-blind study and comparison with epidural morphine. Anesth Analg 1987;66:735-8.
19. Naguib M, Adu-Gyamfi Y, Absood GM, et al. Epidural ketamine for postoperative analgesia. Can Anaesth Soc J 1986;33: 16-21.
20. Naguib M, Sharif AMY, Seraj M, et al. Ketamine for caudal analgesia in children: comparison with bupivacaine. Br J Anaesth 1991;67:559-64.
21. Woolf CJ, Thompson SWN. The induction and maintenance of central sensitization is dependent on N-methyl-D-aspartic acid receptor activation: implications for the treatment of post-injury pain hypersensitivity state. Pain 1991;44:293-9.
22. Murray CW, Cowan A, Larson AA. Neurokinin and NMDA antagonists (but not a kainic acid antagonists) are antinociceptive in the mouse formalin model. Pain 1991;44:179-85.
23. Yamamoto T, Yaksh TL. Spinal pharmacology of thermal hyperesthesia induced by incomplete ligation of sciatic nerve: excitatory amino acids. Pain 1992;49:121-8.
24. Roytblat L, Korotkorchko A, Katz J, et al. Postoperative pain: the effect of low-dose ketamine in addition to general anesthesia. Anesth Analg 1993;77:1161-5.
25. Tverscoy M, Oz Y, Isakson A, et al. Preemptive effect of fentanyl and ketamine on postoperative pain and wound hyperalgesia. Anesth Analg 1994;78:205-9.