Adding intrathecal morphine to unilateral spinal anesthesia results in better pain relief following knee arthroscopy

Journal of Anesthesia

Volumn 22, Issue 4, 2008, Pages 367-372

  Demiraran, Yavuz ^a   Yucel, Istemi ^a   Akcali, Gulgun Elif ^a   Degirmenci, Erdem ^a   Sezen, Gulbin ^a   Iskender, Abdulkadir ^a  

^a DUZCE UNIVERSITY   (Turkey)

Author keywords

Intrathecal; Morphine; Spinal anesthesia; Unilateral

Indexed keywords

ANALGESIC AGENT; ATROPINE; BUPIVACAINE; DICLOFENAC; MORPHINE; SODIUM CHLORIDE;

ADULT; ANALGESIA; ARTICLE; BRADYCARDIA; BROMAGE SCALE; CLINICAL ARTICLE; CLINICAL TRIAL; COMBINATION CHEMOTHERAPY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG EFFECT; DRUG EFFICACY; FEMALE; HUMAN; HYPOTENSION; KNEE ARTHROSCOPY; KNEE DISEASE; KNEE SURGERY; MALE; MONOTHERAPY; MOTOR NERVE BLOCK; OUTCOME ASSESSMENT; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRURITUS; RANDOMIZED CONTROLLED TRIAL; RATING SCALE; SPINAL ANESTHESIA; VISUAL ANALOG SCALE; VOMITING;

AGED; ANALGESICS, OPIOID; ANESTHESIA, SPINAL; ANESTHETICS, LOCAL; ARTHROSCOPY; BUPIVACAINE; DOUBLE-BLIND METHOD; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; INJECTIONS, SPINAL; KNEE; MALE; MIDDLE AGED; MORPHINE; NEUROMUSCULAR BLOCKADE; OXYGEN; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES; RESPIRATORY MECHANICS;

EID: 56549130491     PISSN: 09138668     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00540-008-0648-9     Document Type: Article

References (27)

1. Tanasichuk MA, Schultz EA, Matthews JH, Van Bergen FH. Spinal hemianalgesia: An evaluation of a method, its applicability, and influence on the incidence of hypotension. Anesthesiology. 1961;22:74-85.
2. Fanelli G, Borghi B, Casati A, Bertini L, Montebugnoli M, Torri G. Unilateral bupivacaine spinal anesthesia for outpatient knee arthroscopy. Can J Anaesth. 2000;47:746-751.
3. Cole PJ, Craske DA, Wheatley RG. Efficacy and respiratory effects of low-dose spinal morphine for postoperative analgesia following knee arthroplasty. Br J Anaesth. 2000;85:233-237.
4. Kalso E. Effects of ITM, injected with bupivacaine, on pain after orthopaedic surgery. Br J Anaesth. 1983;55:415-421.
5. 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.
6. Sarma VJ, Bostrom UV. Intrathecal morphine for the relief of post hysterectomy pain: A double blind dose response study. Acta Anaesthesiol Scand. 1993;37:223-227.
7. Bailey PL, Rhondeau S, Schafer PG, Lu JK, Timmins BS, Foster W, Pace NL, Stanley TH. Dose-response pharmacology of intrathecal morphine in human volunteers. Anesthesiology. 1993;79:49-59.
8. Bengtsson M, Löfström JB, Merits H. Postoperative pain relief with intrathecal morphine after major hip surgery. Reg Anesth. 1983;8:140-143.
9. Cousins MJ, Mather LE. Intrathecal and epidural administration of opioids. Anesthesiology. 1984;61:276-310.
10. Rathmell JP, Pino CA, Taylor R, Patrin T, Viani BA. Intrathecal morphine for postoperative analgesia: A randomized, controlled, dose-ranging study after hip and knee arthroplasty. Anesth Analg. 2003;97:1452-1457.
11. Solomon RE, Gebhart GF. Synergistic antinociceptive interactions among drugs administered to the spinal cord. Anesth Analg. 1994;78:1164-1172.
12. Gentili ME. Added morphine may spoil unilateral spinal block. Reg Anesth Pain Med. 2005;30:596.
13. Giovannelli M, Bedforth N, Aitkenhead A. Survey of intrathecal opioid usage in the UK. Eur J Anaesthesiol. 2008;25:118-122.
14. Rawal N, Allvin R. Epidural and intrathecal opioids for postoperative pain management in Europe-a 17-nation questionnaire study of selected hospitals. Euro Pain Study Group on Acute Pain. Acta Anaesthesiol Scand. 1996;40:1119-1126.
15. Palmer CM, Emerson S, Volgoropolous D, Alves D. Dose response relationship of intrathecal morphine for postcesarean analgesia. Anesthesiology. 1999;90:437-444.
16. Sites BD, Beach M, Biggs R, Rohan C, Wiley C, Rassias A, Gregory J, Fanciullo G. Intrathecal clonidine added to a bupivacaine-morphine spinal anesthetic improves postoperative analgesia for total knee arthroplasty. Anesth Analg. 2003;96:1083-1088.
17. Grace D, Bunting H, Milligan KR, Fee JPH. Postoperative analgesia after co-administration of clonidine and morphine by the intrathecal route in patients undergoing hip replacement. Anesth Analg. 1995;80:86-91.
18. Casati A, Moizo E, Marchetti C, Vinciguerra F. A prospective, randomized, double-blind comparison of unilateral spinal anesthesia with hyperbaric bupivacaine, ropivacaine, or levobupivacaine for inguinal herniorrhaphy. Anesth Analg. 2004;99:1387-1392.
19. Kalso E. Effects of intrathecal morphine, injected with bupivacaine, on pain after orthopaedic surgery. Br J Anaesth. 1983;55:415-421.
20. Lisowska B, Cwiek R, Małdyk P, Hofmeister A, Luboiński P. Spinal anesthesia and postoperative analgesia with intrathecal morphine for orthopedic surgery (in Polish). Chir Narzadow Ruchu Ortop Pol. 2007;72:55-60.
21. Valanne JV, Korhonen AM, Jokela RM, Ravaska P, Korttila KK. Selective spinal anesthesia: A comparison of hyperbaric bupivacaine 4 mg versus 6 mg for outpatient knee arthroscopy. Anesth Analg. 2001;93:1377-1379.
22. Liu S, Chiu AA, Carpenter RL, Mulroy MF, Allen HW, Neal JM, Pollock JE. Fentanyl prolongs lidocaine spinal anesthesia without prolonging recovery. Anesth Analg. 1995;80:730-734.
23. Urmey WF, Stanton J, Bassin P, Sharrock NE. The direction of the Whitacre needle aperture affects the extent and duration of isobaric spinal anesthesia. Anesth Analg. 1997;84:337-341.
24. Kuusniemi KS, Pihlajamäki KK, Pitkänen MT. A low dose of plain or hyperbaric bupivacaine for unilateral spinal anesthesia. Reg Anesth Pain Med. 2000;25:605-610.
25. Kamphuis ET, Ionescu TI, Kuipers PW, de Gier J, van Venrooij GE, Boon TA. Recovery of storage and emptying functions of the urinary bladder after spinal anesthesia with lidocaine and with bupivacaine in men. Anesthesiology. 1998;88:310-316.
26. Dahl JB, Jeppesen IS, Jorgensen H, Wetterslev J, Moiniche S. Intraoperative and postoperative analgesic efficacy and adverse effects of intrathecal opioids in patients undergoing cesarean section with spinal anesthesia: A qualitative and quantitative systematic review of randomized controlled trials. Anesthesiology. 1999;91:1919-1927.
27. Wong CA, Scavone BM, Loffredi M, Wang WY, Peaceman AM, Ganchiff JN. The dose-response of intrathecal sufentanil added to bupivacaine for labour analgesia. Anesthesiology. 2000;92: 1553-1558.