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Intrathecal morphine

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Comparison of intrathecal morphine with continuous patient-controlled epidural anesthesia versus intrathecal morphine alone for post-cesarean section analgesia: A randomized controlled trial

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To the best of our knowledge, this is the first study to compare intrathecal morphine with PCEA and intrathecal morphine alone. when focusing on the advantages of PCEA, a previous study concluded that the combined use of intrathecal morphine and PCEA improved post-cesarean section an- algesia compared to PCEA without opioids [2]. Another study reported that intrathecal morphine alone was su- perior to epidural morphine alone or PCEA without opi- oids [1].

Risk of postoperative nausea and vomiting in hip and knee arthroplasty: A prospective cohort study after spinal anaesthesia including intrathecal morphine

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Studies exploring the risk after regional anaesthesia including intrathecal morphine are limited but indicate that intrathecal morphine is highly emetogenic and is additive to the PONV risk associated with other forms of anaesthesia. The aim of this observational study was to investigate the risk of PONV after spinal blockade combined with intrathecal morphine and to explore associations with patient and. perioperative factors, including given PONV-prophylaxis.

Palonosetron versus ondansetron for prevention of nausea and vomiting after total abdominal hysterectomy under spinal anesthesia with intrathecal morphine: A double-blind, randomized controlled trial

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prevention of nausea and vomiting after total abdominal hysterectomy under spinal anesthesia with intrathecal morphine: a. Postoperative nausea and vomiting (PONV) is a frequent problem with intrathecal morphine use. Although palonosetron is effective for prevention of PONV after general anesthesia, its efficacy after neuraxial anesthesia has not been established.

Impact of intrathecal morphine analgesia on the incidence of pulmonary complications after cardiac surgery: A single center propensity-matched cohort study

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Low-dose intrathecal morphine does not delay early extubation after cardiac surgery. Intrathecal morphine plus general anesthesia in cardiac surgery: effects on pulmonary function, postoperative analgesia, and plasma morphine concentration. Intrathecal sufentanil- morphine shortens the duration of intubation and improves analgesia in fast-track cardiac surgery. Intrathecal morphine is superior to intravenous PCA in patients undergoing minimally invasive cardiac surgery.

Delayed remnant kidney function recovery is less observed in living donors who receive an analgesic, intrathecal morphine block in laparoscopic nephrectomy for kidney transplantation: A propensity scorematched analysis

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Comparison of pain and hemodynamic outcomes on postoperative day 1 between propensity score-matched living donors with and without intrathecal morphine block.. Comparison of laboratory variables on postoperative days 1 and 7 between propensity score-matched living donors with and without intrathecal morphine block.. Prospective, randomized study of ropivacaine wound infusion versus intrathecal morphine with intravenous fentanyl for analgesia in living donors for liver transplantation

Intrathecal morphine is associated with reduction in postoperative opioid requirements and improvement in postoperative analgesia in patients undergoing open liver resection

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ITM: Intrathecal morphine. Table 5 Postoperative costs in US dollars of patients receiving intrathecal morphine (ITM) or Usual care. Written informed consent to participate in the study was obtained from participants.. ASA classification : transition in the course of time and depiction in the literature. The role of intrathecal drugs in the treatment of acute pain

Intrathecal morphine versus transversus abdominis plane block for caesarean delivery: A systematic review and metaanalysis

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The analgesic effects of intrathecal morphine in comparison with ultrasound- guided transversus abdominis plane block after caesarean section: a randomised controlled trial at a Ugandan regional referral hospital.. https://doi.org/10.1111/anae.14467.. https://doi.org/10.1213/ANE.0b013e3181e30b9f..

Measurement of drug concentration and bacterial contamination after diluting morphine for intrathecal administration: An experimental study

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Intrathecal administration of morphine is an effective method of analgesia. To achieve a safe dose of intrathecal morphine, low concentrations of morphine are necessary. However, commercially available concentrations of morphine in the Netherlands range up to 10 mg/ml or 20 mg/ml.. Some health care providers use small volumes of 10 mg/. ml morphine to achieve a dose of 150 μ g, others dilute the morphine manually [7 – 9].

Determination of ED50 and time to effectiveness for intrathecal hydromorphone in laboring patients using Dixon’s up-and-down sequential allocation method

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Intrathecal hydromorphone added to hyperbaric bupivacaine for postoperative pain relief after knee arthroscopic surgery: a prospective, randomised, controlled trial. Intrathecal hydromorphone instead of the old intrathecal morphine: the best is the enemy of the good? Eur J. Continuous Intrathecal Infusion of Hydromorphone: Safety in the Sheep Model and Clinical Implications. Bupivacaine Augments Intrathecal Fentanyl for Labor Analgesia

Role of ultrasound guided transversus abdominis plane block as a component of multimodal analgesic regimen for lower segment caesarean section: A randomized double blind clinical study

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Since neuraxial morphine has been established as the best modality for post caesarean analgesia [9], various tri- als have compared the analgesic efficacy of TAP block with intrathecal morphine. They noted that superior anal- gesia was seen with intrathecal morphine as compared to TAP block but at the expense of adverse effects [14–16]..

The analgesic efficacy of ultrasound-guided transversus abdominis plane (TAP) block combined with oral multimodal analgesia in comparison with oral multimodal analgesia after caesarean delivery: A randomized controlled trial

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The transversus abdominis plane block, when used as part of a multimodal regimen inclusive of intrathecal morphine, does not improve analgesia after cesarean delivery. Comparison of transversus abdominis plane block vs spinal morphine for pain relief after caesarean section. Tramadol, breast feeding and safety in the newborn

Efficacy of continuous in-wound infusion of levobupivacaine and ketorolac for postcaesarean section analgesia: A prospective, randomised, double-blind, placebocontrolled trial

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Persistent post-operative pain (8 weeks. subfascial continuous in-wound infusion of local anaes- thetics for post-operative analgesia is as effective as intrathecal morphine [19, 20], or even more effective than epidural morphine [21]. reported that their ropivacaine continuous in-wound infusion group achieved better analgesia than their epidural morphine group, with significantly lower side effects and less staff workload [21]. reported that continuous in-wound infusion with ropivacaine or saline

Dural sac cross-sectional area is a highly effective parameter for spinal anesthesia in geriatric patients undergoing transurethral resection of the prostate: A prospective, double blinded, randomized study

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Comparison of 75 and 150 μ g doses of intrathecal morphine for postoperative analgesia after transurethral resection of the prostate under spinal anesthesia. Comparison of levobupivacaine alone and in combination with fentanyl and sufentanil in patients undergoing transurethral resection of the prostate

A comparison of ultrasound guided bilateral single injection shot Erector Spinae Plane blocks versus wound infltration for post-operative analgesia in laparoscopic assisted colonic surgery- a prospective randomised study

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Analgesic efficacy of erector spinae plane block compared with intrathecal morphine after elective cesarean section: a prospective randomized controlled study. Analgesic efficacy of erector spinae plane block in percutaneous nephrolithotomy: a randomized controlled trial.. The analgesic efficacy of pre- operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair.

Efficacy and safety of 5 mg olanzapine for nausea and vomiting management in cancer patients receiving carboplatin: Integrated study of three prospective multicenter phase II trials

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Efficacy of mirtazapine in preventing intrathecal morphine induced nausea and vomiting after orthopedic surgery. https://doi.org/10.1111/j x.

Determination of the ED95 of intrathecal hyperbaric prilocaine with sufentanil for scheduled cesarean delivery: A dose-finding study based on the continual reassessment method

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The primary aim of the current study was to deter- mine the ED95 of 2% intrathecal hyperbaric prilocaine, combined with sufentanil 2,5 μg and morphine 100 μg, for elective cesarean section. In this study, we defined as “success” the combination of a bilateral T4 attained sensory level obtained within 15 min after intrathecal HP dose administration with no pain experienced upon incision and until the end of sur- gery.

Effect of intrathecal lipophilic opioids on the incidence of shivering in women undergoing cesarean delivery after spinal anesthesia: A systematic review and bayesian network meta- analysis of randomized controlled trials

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Comparison of the effects of Intrathecal fentanyl and Meperidine on shivering after cesarean delivery under spinal anesthesia. Intrathecal fentanyl for prevention of shivering in spinal anesthesia in cesarean section. Incidence of shivering after cesarean section under spinal anesthesia with or without Intrathecal Sufentanil: a randomized study.. Intrathecal Meperidine decreases shivering during cesarean delivery under spinal anesthesia.

Comparative study between intrathecal dexmedetomidine and intrathecal magnesium sulfate for the prevention of post-spinal anaesthesia shivering in uroscopic surgery; (RCT)

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Comparative study of intrathecal dexmedetomidine with intrathecal magnesium sulfate used as adjuvant to bupivacaine

Spinal Disorders: Fundamentals of Diagnosis and Treatment Part 44

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The thecal sac is readily accessible during spinal surgical procedures and intrathecal medication can be injected with technical ease before wound closure. Early reports of the use of intrathecal opioids for analgesia in children after spinal surgery and other major surgeries have suggested that the use of morphine 20 – 30 mg/kg is associated with excellent analgesia for up to 24 h. Independently of the way they are administered, the use of opioids is associated with side effects such as:.

Comparative addition of dexmedetomidine and fentanyl to intrathecal bupivacaine in orthopedic procedure in lower limbs

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A comparative study between intrathecal isobaric Ropivacaine 0.75% plus Dexmedetomidine and isobaric Ropivacaine 0.75% plus fentanyl for lower limb surgeries. Effects of intravenous and intrathecal Dexmedetomidine in spinal anesthesia: a meta-analysis. A comparative study between intrathecal dexmedetomidine and fentanyl as adjuvant to intrathecal bupivacaine in lower abdominal surgeries: a randomized trial.