Extradural morphine gives better pain relief than patient-controlled i.v. morphine after hysterectomy

British Journal of Anaesthesia

Volumn 78, Issue 1, 1997, Pages 10-16

  Eriksson Mjoberg M ^a   Svensson, J O ^a   Almkvist, O ^a   Olund A ^a   Gustafsson, L L ^a  

^a KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Anaesthetic techniques, extradural; Analgesia, patient controlled; Analgesia, postoperative; Analgesics opioid, morphine

Indexed keywords

MORPHINE; NARCOTIC ANALGESIC AGENT;

ADULT; ARTICLE; CLINICAL TRIAL; COGNITION; CONTROLLED CLINICAL TRIAL; DOUBLE BLIND PROCEDURE; EPIDURAL DRUG ADMINISTRATION; FATIGUE; FEMALE; HUMAN; HYSTERECTOMY; INTRAVENOUS DRUG ADMINISTRATION; MAJOR CLINICAL STUDY; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE ANALGESIA; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL; VERTIGO; VISUAL IMPAIRMENT;

EID: 1842372144     PISSN: 00070912     EISSN: None     Source Type: Journal    
DOI: 10.1093/bja/78.1.10     Document Type: Article

References (26)

1. Gustafsson LL, Friberg-Nielsen S, Garle M, Mohall A, Rane A, Schildt B, Symreng T. Extradural and parentera) morphine: kinetics and effects in postoperative pain. A controlled clinical study. British Journal of Anaesthesia 1984; 54: 1167-1174.
2. Cousins MJ, Mather LE. Intrathecal and epidural administration of opioids. Anesthesiology 1984; 61: 276-310.
3. Rawal N, Sjöstrand UH, Dahlström B, Nydahl PA, Ostelius J. Epidural morphine for postoperative pain relief: a comparative study with intramuscular narcotic and intercostal nerve block. Anesthesia and Analgesia 1982; 61: 93-98.
4. Rawal N, Arnér S, Gustafsson LL, Allvin R. Present state of extradural and intrathecal opioid analgesia in Sweden: a nation-wide follow-up survey. British Journal of Anaesthesia 1987; 59: 791-799.
5. Tamsen A, Harrvig P, Fagerlund C, Dahlström B, Bondesson U. Patient-controlled analgesia therapy: clinical experience. Acta Anaesthesiologica Scandinavica Supplement 1982; 74: 157-160.
6. Dahlström B, Tamsen A, Paalzow L, Hartvig P. Patient-controlled analgesia therapy, Part i.v.: Pharmacokinetics and analgesic plasma concentrations of morphine. Clinical Pharmacokinetics 1982; 7: 266-279.
7. Weller R, Rosenblum M, Conard P, Gross JB. Comparison of epidural and patient controlled intravenous morphine following joint-replacement surgery. Canadian Journal of Anaesthesia 1991; 38: 582-586.
8. Harrison DM, Sinatra R, Morgese L, Chung JH. Epidural narcotic and patient-controlled analgesia for post-cesarean section pain relief. Anesthesiology 1988; 68: 454-457,
9. Spencer L, Carpenter RL, Neal JM. Epidural anesthesia and analgesia. Anesthesiology 1995; 82: 1474-1506.
10. Loper KA, Ready LB. Epidural morphine after anterior crucial ligament repair: A comparison with patient controlled intravenous morphine. Anesthesia and Analgesia 1989; 68: 350-352.
11. FAO/WHO/ UNU Expert consultation. Energy and protein requirements. Geneva: WHO Technical report series, 1985; No. 724.
12. Baddeley A. A three-minute reasoning test based on grammatical transformations. Psychonomic Science 1968; 10: 341-342.
13. Lezak MD. Neuropsychological Assessment. New York: Oxford University Press, 1983.
14. Svensson JO, Rane A, Säwe J, Sjöqvist F. Determination of morphine, morphine-3-glucuronide and (tentatively) morphine-6-glucuronide in plasma and urine using ion-pair high-performance liquid chromatography. Journal of Chromatography 1982; 230: 427-432.
15. Assantila R, Eklund P, Rosenberg PH. Continuous epidural infusion of bupivacaine and morphine for postoperative analgesia after hysterectomy. Acta Anaesthesiologica Scandinavica 1991; 35: 513-517.
16. Sjöström S, Hartvig P, Tamsen A. Patient controlled analgesia with extradural morphine or pethidine. British Journal of Anaesthesia 1988; 60: 358-366.
17. Yaksh TL, Durant PAC, Gaumann DM, Stevens CW, Mjanger E. The use of receptor-selective agents as analgesics in the spinal cord: Trends and possibilities. Journal of Pain and Symptom Management 1987; 3: 129-138.
18. Arnér S. Differentiation of pain and treatment efficacy. PhD Thesis. Stockholm: Karolinska Institute, 1991.
19. Olofsson C, Ekblom A, Ekman-Ordeberg G, Granström L, Irestedt L. Analgesic efficacy of intravenous morphine in labour pain - a reappraisal. International Journal of Obstetetric Anesthesia 1996; 5: 176-180.
20. Olofsson C, Ekblom A, Ekman-Ordeberg G, Hjelm A, Irestedt L. Lack of analgesic effect of systemically administered morphine or pethidine on labour pain. British Journal of Obstetrics and Gynaecology, 1996; 103: 968-972.
21. Tamsen A, Hartvig P, Dahlström B, Lindström B, Holmdahl M. Patient-controlled analgesia therapy in the early post-operative period. Acta Anaesthesiologica Scandinavica 1979; 23: 462-470.
22. Portenoy R, Thaler HT, Inturrisi CE, Friedlander-Klar H, Foley KM. The metabolite morphine-6-glucuronide contributes to the analgesia produced by morphine infusion in patients with pain and normal renal function. Clinical Pharmacology and Therapeutics 1992; 51: 422-431.
23. Sinclair R, Weslander G, Cassuto J, Hedner T. Postoperative pain relief: topical lidocaine in the surgical wound of hysterectomized patients. Acta Anaesthesiologica Scandinavica 1996; 40: 589-594.
24. Sandler AN, Baxter AD, Kaz J, Samson B, Friedlaner M, Norman P, Koren G, Roger S, Hull K, Klein J. A double-blind placebo-controlled trial of transdermal fentanyl after abdominal hysterectoy. Anesthesiology 1994; 81: 1169-1180.
25. Mansfield M, James KS, Kinsella J. Influence and timing of morphine on postoperative pain and analgesic requirements. Brithish Journal of Anaesthesia 1996; 76: 358-361.
26. Eriksson-Mjöberg M, Kristiansson M, Carlström K, Ekund J, Gustafsson LL, Ölund A. Preoperative infiltration with buvpivacaine - effects on pain relief and trauma response (cortisol and interleukin-6). Acta Anaestesiologica Scandinavica 1996, in press.