A comparative study on the effects of intrathecal morphine added to levobupivacaine for spinal anesthesia

Journal of Opioid Management

Volumn 8, Issue 2, 2012, Pages 105-113

  Unlugenc, Hakki ^a   Gunduz, Murat ^a   Guzel, Baris ^a   Isik, Geylan ^a  

^a CUKUROVA UNIVERSITY FACULTY OF MEDICINE   (Turkey)

Author keywords

Cesarean section; Combined spinal epidural anesthesia; Levobupivacaine; Morphine

Indexed keywords

LEVOBUPIVACAINE; MORPHINE; SODIUM CHLORIDE;

ADULT; ARTICLE; CESAREAN SECTION; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; FEMALE; HUMAN; PAIN ASSESSMENT; PHARMACOLOGICAL BLOCKING; RANDOMIZED CONTROLLED TRIAL; SPINAL ANESTHESIA;

ADULT; ANESTHESIA, OBSTETRICAL; ANESTHESIA, SPINAL; ANESTHETICS, COMBINED; ANESTHETICS, LOCAL; BUPIVACAINE; CESAREAN SECTION; DOUBLE-BLIND METHOD; FEMALE; HUMANS; INJECTIONS, SPINAL; MORPHINE; PREGNANCY; PROSPECTIVE STUDIES; PSYCHOMOTOR PERFORMANCE;

EID: 84861732795     PISSN: 15517489     EISSN: None     Source Type: Journal    
DOI: 10.5055/jom.2012.0103     Document Type: Article

References (23)

1. Abouleish E, Rawal N, Fallon K, et al.: Combined intrathecal morphine and bupivacaine for cesarean section. Anesth Analg. 1988; 67: 370-374.
2. Dahl JB, Jeppesen IS, Jorgessen H, et al.: Intraoperative and postoperative analgesic efficacy and adverse effects of intrathecal opioid in patients undergoing cesarean section with spinal anaesthesia. Anesthesiology. 1999; 91: 1919-1927.
3. Karaman S, Kocabas S, Uyar M, et al.: The effects of sufentanil or morphine added to hyperbaric bupivacaine in spinal anaesthesia for caesarean section. Eur J Anaesthesiol. 2006; 23: 285-291.
4. Berti M, Casati A, Fanelli G, et al.: 0.2% ropivacaine with or without fentanyl for patient-controlled epidural analgesia after major abdominal surgery: a double-blind study. J Clin Anesth. 2000; 12: 292-297.
5. Crews JC, Hord AH, Denson DD, et al.: A comparison of the analgesic efficacy of 0.25% levobupivacaine combined with 0.005% morphine, 0.25% levobupivacaine alone, or 0.005% morphine alone for the management of postoperative pain in patients undergoing major abdominal surgery. Anesth Analg. 1999; 89: 1504-1509.
6. Yeh HM, Chen LK, Shyu MK, et al.: The addition of morphine prolongs fentanyl-bupivacaine spinal analgesia for the relief of labor pain. Anesth Analg. 2001; 92: 665-668.
7. Buttner J, Klose R. Alkalinization of mepivacaine for axillary plexus anaesthesia using a catheter. Reg Anaesth. 1991; 14: 17-24.
8. Camorcia M, Capogna G: Sensory assessment of epidural block for caesarean section: a systematic comparison of pinprick, cold and touch sensation. Eur J Anaesthesiol. 2006; 23: 611-617.
9. Ogun CO, Kirgiz EN, Duman A, et al.: Comparison of intrathecal isobaric bupivacaine-morphine and ropivacaine-morphine for caesarean delivery. Br J Anaesth. 2003; 90: 659-664.
10. Milner AR, Bogod DG, Harwood RJ: Intrathecal administration of morphine for elective caesarean section. A comparison between 0.1 mg and 0.2 mg. Anaesthesia. 1996; 51: 871-873.
11. Girgin NK, Gurbet A, Turker G, et al.: Intrathecal morphine in anaesthesia for cesarean delivery: dose-response relationship for combinations of low-dose intrathecal morphine and spinal bupivacaine. J Clin Anaesth. 2008; 20: 180-185.
12. Glaser C, Marhofer P, Zimpfer G, et al.: Levobupivacaine versus racemic bupivacaine for spinal anaesthesia. Anesth Analg. 2002; 94: 194-198.
13. Sell A, Olkkola KT, Jalonen J, et al.: Minimum effective local anaesthetic dose of isobaric levobupivacaine and ropivacaine administered via a spinal catheter for hip replacement surgery. Br J Anaesth. 2005; 94: 239-242.
14. Burke D, Kennedy S, Bannister J: Spinal anaesthesia with 0.5% S(-)-bupivacaine for elective lower limb surgery. Reg Anaesth Pain Med. 1999; 24: 519-523.
15. Uchiyama A, Ueyama H, Nakano S, et al.: Low close intrathecal morphine and pain relief following caesarean section. Int J Obstet Anesth. 1994; 3: 87-91.
16. Morgan GE, Mikhail MS, Murray MJ: Local Anesthetics. Clinical Anesthesiology. The McGraw-Hill Companies, Inc, 2002: 233-240.
17. Ummenhofer WC, Arends RH, Shen DD, et al.: Comparative spinal distribution and clearance kinetics of intrathecally administered morphine, fentanyl, alfentanil, and sufentanil. Anesthesiology. 2000; 92: 739-753.
18. Gehling M, Luesebrink T, Kulka P, et al.: The effective duration of analgesia after intrathecal morphine in patients without additional opioid analgesia: a randomized double-blind multicentre study on orthopaedic patients. Eur J Anaesthesiol. 2009; 26: 683-688.
19. Dualé C, Frey C, Bolandard F, et al.: Epidural versus intrathecal morphine for postoperative analgesia after caesarean section. BrJAnaesth. 2003; 91: 690-694.
20. Abboud TK, Dror A, Mosaad P, et al.: Mini-dose intrathecal morphine for the relief of post-cesarean section pain: safety, efficacy, and ventilatory responses to carbon dioxide. Anesth Analg. 1988; 67: 137-143.
21. Uchiyama A, Nakano S, Ueyama H, et al.: Low dose intrathecal morphine and pain relief following caesarean section. Int J Obstet Anesth. 1994; 3: 87-91.
22. Nortcliffe SA, Shah J, Buggy DJ: Prevention of postoperative nausea and vomiting after spinal morphine for caesarean section: comparison of cyclizine, dexamethasone and placebo. Br J Anaesth. 2003; 90: 665-670.
23. Palmer CM, Emerson S, Volgoropolous D, et al.: Dose-response relationship of intrathecal morphine for postcesarean analgesia. Anesthesiology. 1999; 90: 437-444.