Intrathecal morphine: Effects on perioperative hemodynamics, postoperative analgesia, and stress response for total abdominal hysterectomy

Advances in Therapy

Volumn 23, Issue 2, 2006, Pages 295-306

  Karaman, Semra ^a   Kocabas, Seden ^a   Uyar, Meltem ^a   Zincircioglu, Ciler ^a   Firat, Vicdan ^a  

^a EGE UNIVERSITY SCHOOL OF MEDICINE   (Turkey)

Author keywords

Intrathecal morphine; Postoperative pain; Stress response; Total abdominal hysterectomy

Indexed keywords

ADRENALIN; DIPHENHYDRAMINE; GLUCOSE; METOCLOPRAMIDE; MORPHINE; NITROUS OXIDE; NORADRENALIN; OPIATE; OXYGEN; PROPOFOL; REMIFENTANIL; SEVOFLURANE; VECURONIUM;

ABDOMINAL HYSTERECTOMY; ADRENALIN BLOOD LEVEL; ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; GENERAL ANESTHESIA; GLUCOSE BLOOD LEVEL; HEART RATE; HEMODYNAMICS; HUMAN; MEAN ARTERIAL PRESSURE; NAUSEA; NORADRENALIN BLOOD LEVEL; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PREOPERATIVE TREATMENT; PRURITUS; RANDOMIZED CONTROLLED TRIAL; RESPIRATION DEPRESSION; STRESS; VISUAL ANALOG SCALE; VOMITING;

ADULT; AGED; ANALGESICS, OPIOID; FEMALE; HEMODYNAMIC PROCESSES; HUMANS; HYSTERECTOMY; INJECTIONS, SPINAL; MIDDLE AGED; MORPHINE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PERIOPERATIVE CARE; STRESS; TREATMENT OUTCOME;

EID: 33745039811     PISSN: 0741238X     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02850135     Document Type: Article

References (38)

1. Stoelting RK. Intrathecal morphine - an underused combination for postoperative pain management. Anesth Analg. 1989;68:707-709.
2. Wang JK, Nauss LA, Thomas JE. Pain relief by intrathecally applied morphine in man. Anesthesiology. 1979;50:149-151.
3. Cousins MJ, Mather LE. Intrathecal and epidural administration of opioids. Anesthesiology. 1984;61:276-310.
4. Andreoni C, Olweny EO, Portis AJ, Sundaram CP, Monk T, Clayman RV. Effect of single-dose subarachnoid spinal anesthesia on pain and recovery after unilateral percutaneous nephrolithotomy. Endourology. 2002;16:721-725.
5. Lee TWR, Grocott HP, Schwinn D, Jacobsohn E. High spinal anesthesia for cardiac surgery. Anesthesiology. 2003;98:499-510.
6. Moore CM, Cross MH, Desborough JP, et al. Hormonal effects of thoracic extradural analgesia for cardiac surgery. Br J Anaesth. 1995;75:387-393.
7. Rutberg H, Hakanson E, Anderberg L, Jorfeldt L, Martensson J, Schildt B. Effects of the extradural administration of morphine, or bupivacaine, on the endocrine response to upper abdominal surgery. Br J Anaesth. 1984;56:233-237.
8. Hjortso N-C, Christensen NJ, Andersen T, Kehlet H. Effects of the extradural administration of local anaesthetic agents and morphine on the urinary excretion of cortisol, catecholamines, and nitrogen following abdominal surgery. Br J Anaesth. 1985;57:400-406.
9. Holte K, Kehlet H. Epidural anaesthesia and analgesia-effects on surgical stress responses and implications for postoperative nutrition. Clin Nutr. 2002;21:199-206.
10. Wolf AR, Eyres RL, Laussen PC, et al. Effect of extradural analgesia on stress responses to abdominal surgery in infants. Br J Anaesth. 1993;70:654-660.
11. Engquist A, Brandt MR, Fernandes A, Kehlet H. The blocking effect of epidural analgesia on the adrenocortical and hyperglycemic responses to surgery. Acta Anaesth Scand. 1977;21:330-335.
12. Adams HA, Saatweber P, Schmitz CS, Hecker H. Postoperative pain management in orthopaedic patients: no differences in pain score, but improved stress control by epidural anaesthesia. Eur J Anaesth. 2002;19:658-665.
13. Desborough JP. The stress response to trauma and surgery. Br J Anaesth. 2000;85:109-117.
14. McDonald RK, Evans FT, Weise VK, et al. Effect of morphine and nalorphine on plasma hydrocortisone levels in man. J Pharmacol Exp Ther. 1959;125:241-247.
15. Moller LW, Hjortso E, Krantz T, Wandall E, Kehlet K. The modifying effects of spinal anaesthesia on intra- and postoperative adrenocortical and hyperglycaemic response to surgery. Acta Anaesthesiol Scand. 1984;28:266-269.
16. Yamaguchi H, Watanabe S, Fukuda T, Takahashi H, Motokawa K, Ishizawa Y. Minimal effective dose of intrathecal morphine for relief following transabdominal hysterectomy. Anesth Analg. 1989;68:537-540.
17. Devys JM, Mora A, Plaud B, et al. Intrathecal + PCA morphine improves analgesia during the first 24 hr after major abdominal surgery compared to PCA alone. Can J Anaesth. 2003;50:355-361.
18. Vaida SJ, Ben-David B, Somri M, Croitoru M, Sabo E, Gaitini L. The influence of preemptive spinal anesthesia on postoperative pain. J Clin Anesth. 2000;12:374-377.
19. Uchiyama A, Ueyama H, Nakano S, Nishimura M, Tashiro C. Low dose intrathecal morphine and pain relief following caesarean section. Int J Obstet Anesth. 1994;3:87-91.
20. Kong SK, Onsiong SMK, Chiu WKY, Li MKW. Use of intrathecal morphine for postoperative pain relief after elective laparoscopic colorectal surgery. Anesthesia. 2002;57:1168-1173.
21. Bowler I, Djaiani, Abel R, Pugh S, Dunne J, Hall J. A combination of intrathecal morphine and remifentanil anesthesia for fast-track cardiac anesthesia and surgery. J Cardiothorac Vasc Anesth. 2002;16:709-714.
22. Gall O, Aubineau JV, Berniere J, Desjeux, Murat I. Analgesic effect of low-dose intrathecal morphine after spinal fusion in children. Anesthesiology. 2001;94:447-452.
23. Nemirovsky A, Chen L, Zelman V, Jurna I. The antinociceptive effect of the combination of spinal morphine with systemic morphine or buprenorphine. Anesth Analg. 2001;93:197-203.
24. Urban MK, Jules-Elysee K, Urguhart B, Cammisa FP, Boachie-Adjei O. Reduction in postoperative pain after spinal fusion with instrumentation using intrathecal morphine. Spine. 2002;5:535-537.
25. Whetmore JK, Kalt MA, Sybert JW, Hecker ET. Intrathecal administration of morphine followed by patient-controlled intravenous administration for postoperative analgesia. Clin Pharmacol Ther. 1992;11:958-961.
26. Jacobson L, Chabal C, Brody MC. A dose-response study of intrathecal morphine: efficacy, duration, optimal dose, and side effects. Anesth Analg. 1988;67:1082-1088.
27. O'Neill P, Knickenberg C, Bogahalanda S, Both AE. Use of intrathecal morphine for postoperative pain relief following lumbar spinal surgery. J Neurosurg. 1985;63:413-416.
28. Riley ET, Ratner EF, Cohen SE. Intrathecal sufentanil for labor analgesia: do sensory changes predict better analgesia and greater hypotension? Anesth Analg. 1997;84:346-351.
29. Chadwick HS, Ready LB. Intrathecal and epidural morphine sulfate for postcesarean analgesia - a clinical comparison. Anesthesiology. 1988;68:925-929.
30. Cousins MJ, Mather LE. Intrathecal and epidural administration of opioids. Anesthesiology. 1984;61:276-310.
31. 3-receptor antagonist, on analgesia and nausea after intrathecal morphine. Br J Anaesth. 1993;71:681-684.
32. France J, Jorgenson S, Lowe T, Dwyer AP. The use of intrathecal morphine for analgesia after posterolateral lumbar fusion. A prospective, double-blind, randomized study. Spine. 1997;22: 2272-2277.
33. Ross DA, Drasner K, Weinstein PR, Flaherty JF, Barbaro NM. Use of intrathecally administered morphine in the treatment of postoperative pain after lumbar spinal surgery: a prospective, double-blind, placebo-controlled study. Neurosurgery. 1991;28:700-704.
34. Swart M, Sewell J, Thomas D. Intrathecal morphine for caesarean section: an assessment of pain relief, satisfaction and side effects. Anaesthesia. 1997;52:373-381.
35. Gwirtz KH, Young JV, Byers RS, et al. The safety and efficacy of intrathecal opioid analgesia for acute postoperative pain: seven years' experience with 5969 surgical patients at Indiana University Hospital. Anesth Analg. 1999;88:599-604.
36. Ready LB, Oden R, Chadwick HS, et al. Development of an anesthesiology-based postoperative pain management service. Anesthesiology. 1988;68:100-106.
37. Palmer CM, Emerson S, Volgoropolous D, Alves D. Dose-response relationship of intrathecal morphine for postcesarean analgesia. Anesthesiology. 1999;90:437-444.
38. Sarvela J, Halonen P, Soikkeli A, Korttila K. A double-blinded, randomized comparison of intrathecal and epidural morphine for elective cesarean delivery. Anesth Analg. 2002;95:436-440.