Epidural morphine for postoperative analgesia. Medical search. Frequent questions

Nonopioid analgesics (acetaminophen and NSAIDS) are commonly used alone or as adjuncts to opioid-base analgesia to treat moderate to severe pain ( 8 ). (ispub.com)
Neuraxial morphine is associated with lower pain scores, longer time to first rescue analgesia, reduced postpartum opioid consumption and less sedation following CD, compared to parenteral opioids, though the risk of pruritus and nausea may be higher. (asra.com)
100-250 mcg) are associated with a prolonged time until first analgesia request (by 4.5 hours) with a higher risk of opioid related side-effects such as pruritus and postoperative nausea and vomiting (PONV) when compared with lower doses (50-100 mcg). (asra.com)
13 Furthermore, acetaminophen should be administered in a scheduled rather than as needed manner, with preference for sole agents rather than acetaminophen-opioid combination preparations, as these provide comparable analgesia with significant opioid sparing effects. (asra.com)
Several meta-analyses have concluded that TAPB provides postoperative opioid-sparing and improved analgesia in patients who do not receive ITM. (asra.com)
The opioid based analgesics and land mark techniques have undesirable consequences, regional analgesia technique with ultrasound requires resource and expertise while different wound infiltration techniques are new techniques with minimal side effect and easy to administer. (researchsquare.com)
As the primary outcome parameter, we will evaluate the opioid consumption during the first 24 postoperative hours. (druglib.com)
Epidural anesthesia for cesarean section is typically performed using a catheter, which allows supplemen-tation of anesthesia if necessary and provides an excellent route for postoperative opioid admin-istration. (brainkart.com)
As a result, orthopedic surgeons who perform total hip arthroplasty (THA), a procedure that often leads to significant postoperative pain, have been faced with substantial challenges to adequately mitigate patient pain while also reducing opioid intake. (openmedicalpublishing.org)
Current strategies include identifying and correcting modifiable risk factors associated with postoperative opioid use such as preoperative opioid use, alcohol and tobacco abuse, and untreated psychiatric illness. (openmedicalpublishing.org)
Additionally, recent evidence has emerged in the form of Enhanced Recovery After Surgery (ERAS) protocols suggesting that a multidisciplinary focus on patient factors perioperatively can lead to reduced postoperative opioid administration and decreased hospital stays. (openmedicalpublishing.org)
A cornerstone of ERAS protocols includes multimodal pain regimens with opioid rescue only as needed, which often includes multiple systemic pain therapies such as acetaminophen, gabapentin, non-steroidal anti-inflammatory drugs, as well as targeted pain therapies that include epidural catheters and ultrasound-guided nerve blocks. (openmedicalpublishing.org)
17,19 Unfortunately, opioid medications are considered the standard of care for postoperative pain management, and there is insufficient evidence to conclude that complementary and alternative medicines alone are sufficient in controlling postoperative pain from orthopaedic procedures. (openmedicalpublishing.org)
to compare postoperative well-being after general and epidural anaesthesia, 58 women undergoing caesarean section were divided into a general anaesthetic group receiving intramuscular opioid postoperatively (26), and an epidural group receiving morphine via the epidural route (32). (liverpool.ac.uk)
Heroin is an opioid drug that is synthesized from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. (silkyroadmarket.com)
Is intravenous long-acting opioid (morphine) associated with more postoperative hypoxemia than short-acting opioid (fentanyl) after non-cardiac surgery? (bvsalud.org)
Objective: To compare between intravenous long-acting opioid (Morphine), and short-acting opioid (Fentanyl) regarding postoperative hypoxemia after non-cardiac surgery. (bvsalud.org)

This prospective randomized controlled study compared the effectiveness of QLB with the epidural analgesia technique in relieving postoperative pain following transperitoneal laparoscopic nephrectomy. (ui.ac.id)

Following the anesthesia induction, an epidural catheter (22-24 G) was inserted by using Tuohy needle (19-20 G). Patients were randomly divided iiinto two groups. (hoajonline.com)
Twenty four healthy female dogs were randomly assigned to receive saline or nalbuphine at 0.3 or 0.6 mg/kg (n=8 for each group) administered via lumbosacral epidural catheter introduced cranially into the epidural canal. (scielo.br)
Sensory block coverage, hemodynamic changes, Bromage score, postoperative nausea-vomiting (PONV), paresthesia, and duration of urinary catheter usage were recorded and analyzed. (ui.ac.id)
Conclusion: The repeated QLB had a similar 24-h cumulative morphine requirement, comparable postoperative pain scores and sensory blockade, higher postoperative MAP, a similar degree of motoric block, no difference in the incidence of PONV and paresthesia, and shorter urinary catheter usage, compared to the continuous epidural analgesia following transperitoneal laparoscopic nephrectomy. (ui.ac.id)
An epidural catheter can be left in for some time after your operation. (bupa.co.uk)
There have been primarily dealt with spinal or abdominal surgeries where multiple dermatomal segments needed to be blocked and morphine was given either through the caudal approach or by direct catheter placement. (ekja.org)
the control group received an intramuscular injection of ketorolac 1 mg/kg t.i.d. and meperidine 0.5 mg/kg p.r.n., and the epidural group received PCEA (0.1% bupivacaine + fentanyl 2 microgram/ml) through an epidural catheter positioned at the surgical dermatomal level of the spinal cord. (ekja.org)
Patients undergoing open abdominal partial hepatectomy, according to their willingness, accepted one of the following managements for the postoperative pain: continuous wound catheter (CWC) infiltration, patient-controlled epidural analgesia (PCEA), patient-controlled intravenous analgesia of morphine (PCIAM), and patient-controlled intravenous analgesia of sufentanil (PCIAS). (cams.cn)
Continuous spinal anesthesia is also a reason-able option, especially for obese patients, follow-ing unintentional dural puncture sustained while attempting to place an epidural catheter for cesar-ean section. (brainkart.com)

Doses of ≤50 mg bupivacaine equivalents (20 ml 0.25% bupivacaine on each side, for example) are recommended on each side to balance analgesia efficacy with risk of local anesthetic systemic toxicity (LAST). (asra.com)
21 The role of liposomal bupivacaine, which provides longer duration of analgesia, shows some promise in the CD setting. (asra.com)
Epidural anesthesia with bupivacaine, bupivacaine and fentanyl, or bupivacaine and sufentanil during intravenous administration of propofol for ovariohysterectomy in dogs. (scielo.br)
Determination of the analgesic dose-response relationship for epidural fentanyl and sufentanil with bupivacaine 0.125% in laboring patients. (scielo.br)
Torske KE, Dyson DH, Pettifer G. End tidal halothane concentration and postoperative analgesia requirements in dogs: a comparison between intravenous oxymorphone and epidural bupivacaine alone and in combination with oxymorphone. (scielo.br)
Epidural morphine vs. intercostal bupivacaine. (scielo.br)
10. Abelson AL, Armitage-Chan E, Lindsey JC, Wetmore LA. A comparison of epidural morphine with low dose bupivacaine versus epidural morphine alone on motor and respiratory function in dogs following splenectomy. (scielo.br)
Campoy L, Martin-Flores M, Ludders JW, Erb HN, Gleed RD. Comparison of bupivacaine femoral and sciatic nerve block versus bupivacaine and morphine epidural for stifle surgery in dogs. (scielo.br)
The QLB group received bilateral QLB using 0.25% bupivacaine and the epidural group received 6 ml/h of 0.25% bupivacaine for intraoperative analgesia. (ui.ac.id)
As postoperative analgesia, the QLB group received repeated bilateral QLB with the same dose and the epidural group received 6 ml/h of 0.125% bupivacaine for 24 h after surgery completion. (ui.ac.id)
A prospective, randomized comparison of preoperative and continuous balanced epidural of paravertebral bupivacaine on post thoracotomy pain, pulmonary function and stress responses. (journal-jmsr.net)
This study evaluated the safety and efficacy of postoperative continuous patient controlled epidural analgesia (PCEA) in children undergoing lower extremity surgery using a bupivacaine and fentanyl via lumbar approach. (ekja.org)
Effects of ketorolac versus bupivacaine coadministration during patient-controlled hydromorphone epidural analgesia after thoracotomy procedures. (pain.org.tw)

4 The Society for Obstetric Anesthesia and Perinatology (SOAP) 5 and the PROSPECT guidelines 6 recommend a multimodal approach to post-cesarean analgesia. (asra.com)
Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologistsʼ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. (thieme-connect.com)
As in adults, coexisting pulmonary disease in neonates may be an excellent reason to consider regional anesthesia for postoperative pain management. (medscape.com)
Epidural analgesia combined with inhalatory anesthesia may provide advantages over the conventional routes of analgesic administration (intravenous or intramuscular), including reduction of the doses of the inhalant agents required to produce anaesthesia and thus the side effects derived from higher doses 1 1. (scielo.br)
Epidural methadone in dogs undergoing pelvic limb surgical procedures resulted in greater decreases in the EtISO required to maintain anesthesia compared with the same doses administered intravenously 2 2. (scielo.br)
Epidural nerve block has become a significant advance in neuraxial anesthesia and analgesia. (medscape.com)
The duration of anesthesia or analgesia is prolonged when epidural catheters are used. (medscape.com)
Hypotension following epidural anesthesia typically has a slower onset. (brainkart.com)
Some practitioners also add sodium bicarbon-ate (7.5% or 8.4% solution) to local anesthetic solutions (1 mEq/10 mL of lidocaine) to increase the concentration of the nonionized free base and pro-duce a faster onset and more rapid spread of epidural anesthesia. (brainkart.com)
This confirms human newborn research that found that the failure to provide anesthesia or analgesia for newborn circumcision resulted not only in short-term physiologic perturbations but also in longer-term behavioral changes. (nysora.com)
Postoperative delirium in the adult population carries a significant burden of morbidity, and its prevention and treatment should be familiar to anesthesia providers. (xenonhealth.com)
Anesthesia providers can help prevent postoperative delirium by avoiding benzodiazepines in patients at risk, and using opiates judiciously (though they can cause confusion in elderly or neurologically compromised patients, they can also treat pain, a known trigger of delirium). (xenonhealth.com)
Anesthesia and analgesia. (pain.org.tw)
Regional analgesia and ultra-fast-track cardiac anesthesia. (pain.org.tw)

Multimodal analgesia (MMA) combines analgesics of multiple classes acting on distinct target sites through different strategies, including non-opiate analgesics (NSAIDs, acetaminophen, COX-2 inhibitors), α-2 agonists, epidural analgesia, local infiltration of analgesics, continuous peripheral nerve blockade, and so on. (pain.org.tw)
Postoperative pain management after ambulatory surgery: role of multimodal analgesia. (pain.org.tw)
In an accompanying segment, we discussed modern multimodal analgesia and how incorporating it into clinical practice can enhance pain control and improve outcomes. (medscape.com)
This is probably where multimodal analgesia can play an important role throughout the perioperative phase. (medscape.com)
We have several opportunities to exploit multimodal analgesia in this case. (medscape.com)

Likewise, patient-controlled intravenous analgesia is subject to significant side effects. (druglib.com)
Patients will be randomly allocated to three different postoperative strategies: postoperative patient-controlled intravenous analgesia with morphine (control group, n = 25), a transversus abdominis plane block with ropivacaine 0.375% at the end of surgery plus postoperative patient-controlled intravenous analgesia with morphine (TAP group, n = 50), or perioperative intravenous lidocaine plus postoperative patient-controlled intravenous analgesia with morphine (LIDO group, n = 50). (druglib.com)
DISCUSSION: Recognizing the importance of a multimodal approach for perioperative pain management, we aim to investigate whether a transversus abdominis plane block delivers superior pain control in comparison to perioperative intravenous lidocaine and patient-controlled intravenous analgesia with morphine alone. (druglib.com)

In one study, false beliefs about addiction and the proper use of acetaminophen and other analgesics resulted in the failure to provide analgesia to children. (nysora.com)

Analgesia after lateral thoracotomy in dogs. (scielo.br)
The aim of this our study is to evaluate the interest of the PVB in the analgesia after thoracotomy. (journal-jmsr.net)
Paravertebral block with ropivacaine 0.5 % versus systemic analgesia for pain relief after thoracotomy. (journal-jmsr.net)
13. Solier M, Liu N, Fischler M. Analgesia after thoracotomy: French practice. (journal-jmsr.net)
A systematic review of randomized trials evaluating regional techniques for post thoracotomy analgesia. (journal-jmsr.net)
Comparative study of continuous extrapleural intercostal nerve block and lumbar epidural morphine in post-thoracotomy pain. (mcmaster.ca)

In the postoperative period, VAS and Colorado analgesic scores were lower for the dogs that received the higher nalbuphine dose, which only required supplemental analgesia 10 h following its administration, compared with dogs that received the lower dose. (scielo.br)
Women should be offered diamorphine (0.3-0.4 mg intrathecally) for intra- and postoperative analgesia because it reduces the need for supplemental analgesia after a caesarean section. (riverfarmshrooms.com)

Postoperative pain management should be discussed during the preoperative visit with the family. (medscape.com)
1] Betelli G: Anaesthesia for the elderly outpatient: preoperative assessment and evaluation, anaesthetic technique and postoperative pain management. (edu.pl)

Epidural morphine has proven analgesic efficacy and advantages over systemically administered morphine for the treatment of postoperative pain with regard to local modulation of nociceptive input without other sensory, motor, or sympathetic blockade. (silverchair.com)
There are many methods of treatment of postoperative pain. (icmart.org)

THE management of postoperative pain remains a significant problem. (silverchair.com)
Therefore, epidural analgesia is no longer recommended for the management of postoperative pain in laparoscopic colorectal surgery. (druglib.com)

Secondary endpoints include the Numeric Rating Scale, time to return of intestinal function, time to mobilization, inflammatory response, incidence of postoperative nausea and vomiting, length of hospital stay and postoperative morbidity as assessed with the Clavien-Dindo classification. (druglib.com)
A significant correlation was observed between the bolus number and the incidence of nausea/vomiting in the epidural group. (ekja.org)
This study compared the early postoperative analgesic effects and the postoperative nausea and vomiting (PONV) associated with three methods of pain control after posterior lumbar spinal surgery. (tmu.edu.tw)

1,2 Adequate pain control has been associated with several key clinical benefits, including fewer postoperative complications, earlier patient mobilization, and reduced costs due to shorter hospital stays and improved rehabilitation. (silverchair.com)
Moreover, epidural analgesia can be associated with numerous complications. (druglib.com)
This technique can thus advantageously replace thoracic epidural analgesia with fewer major complications. (journal-jmsr.net)
Secondary outcomes included consumption of rescue medication, side effects, and complications associated with postoperative pain management. (cams.cn)
On the other side, fentanyl titration may cause less postoperative respiratory complications. (bvsalud.org)

Epidural morphine has proven analgesic efficacy in the postoperative period and is widely used. (silverchair.com)
The quadratus lumborum block (QLB) has potential as an abdominal truncal block, however, its analgesic efficacy has never been compared to epidural analgesia on laparoscopic nephrectomy. (ui.ac.id)
All randomized trials comparing the efficacy of wound infiltration for postoperative pain management after cesarean section will be included. (researchsquare.com)
3. Baidya DK, Khanna P, Maitra S. Analgesic efficacy and safety of thoracic paravertebral and epidural analgesia for thoracic surgery: a systematic review and meta-analysis. (journal-jmsr.net)
Efficacy of postoperative epidural analgesia: a meta-analysis. (pain.org.tw)

Since its isolation from opium almost 200 yr ago, morphine remains the most widely used analgesic and the standard against which all new opioids for postoperative pain relief are compared. (nih.gov)

Local anesthetic epidural blockade may be useful in conjunction with aggressive physical therapy or manipulation of a painful limb associated with joint stiffness or limited range of motion. (medscape.com)
Certain conditions with sympathetic mediated or maintained pain are treated with the epidural local anesthetic since it provides sympathetic blockade. (medscape.com)

We compared the effects of epidural levobupivacaine and levobupivacaine plus morphine administration on postoperative analgesia in children undergoing major abdominal surgery. (hoajonline.com)
9. Marucio RL, Luna SP, Neto FJ, Minto BW, Hatschbach E. Postoperative analgesic effects of epidural administration of neostigmine alone or in combination with morphine in ovariohysterectomized dogs. (scielo.br)

EREM provided significant postoperative pain relief over a 48-h period after hip surgery, without the need for indwelling epidural catheters. (silverchair.com)
Long-term indwelling epidural catheters are helpful in managing severe pain in cancer and noncancer chronic pain conditions. (medscape.com)

Morphine consumption was the primary end point to assess postoperative analgesia. (bmj.com)
05). After H4, there was no difference in morphine consumption and VAS among groups, either at rest or during mobilization. (bmj.com)
After H4, morphine consumption remained lower than 0.5 mg/h, and VAS remained lower than 30 mm in the 3 groups. (bmj.com)
19 demonstrated that dipyrone use prior to surgical incision reduces the consumption of morphine per hour, evaluated through the method of analgesia controlled by the patient. (bvsalud.org)

The coverage of QLB was extended from T9 to L2 and the continuous epidural block was extended from T8 to L3 dermatomes. (ui.ac.id)
Continuous epidural block after surgery has been able to get better postoperative analgesic effect than intermittent intravenous (IV) opioids and to decrease the duration of mechanical ventilatory support, endotracheal intubation and ICU stay. (accjournal.org)
The purpose of this study is to observe these effects of continuous epidural block after cardiac surgery. (accjournal.org)
Postoperative analgesia were performed by intermittent IV meperidine 25 mg in group 1 and by continuous epidural block with 1% mepivacaine 100 ml and morphine 4 mg in group 2. (accjournal.org)
Continuous epidural block, with 1% mepivacaine 100 ml and morphine 4 mg, for postoperative analgesia decreases the duration of intensive care compaered with intermittent IV meperidine 25 mg, after cardiac surgery. (accjournal.org)

The duration of postoperative analgesia was longer in group I patients than group II patients (p=0.002). (hoajonline.com)
The onset of action is lightly more rapid than with morphine, and the duration of action is slightly shorter ( 9 ). (ispub.com)
The addition of fentanyl, 50-100 mcg, or sufentanil, 10-20 mcg, greatly enhances the intensity of the analgesia and prolongs its duration without adversely affecting neonatal out-come. (brainkart.com)
Postoperative causes include certain medications (benzodiazepines are notorious for causing delirium), sleep deprivation, immobility, and prolonged ICU and/or mechanical ventilation duration. (xenonhealth.com)
Implementing these measures as standard of care for at-risk patients can be an important step to decreasing the incidence and duration of postoperative delirium. (xenonhealth.com)

The myocardial infarction rate for the epidural morphine group was 4.9% versus 3.6% and 3.7%, respectively, for the patients who received general or spinal, both with postoperative parenteral opioids. (asahq.org)
I would like to introduce our laboratory where the spinal cord analgesic mechanisms are investigated including morphine analgesia mechanisms. (icmart.org)
Because preemptive analgesia prevents the production of memory substances in the spinal cord and supraspinal level. (icmart.org)
You can also have an epidural with spinal anaesthesia and with a general anaesthetic. (bupa.co.uk)
The cephalad part of the spinal epidural space begins at the level of foramen magnum, where the periosteal and spinal layers of dura fuse together. (medscape.com)
A single low-dose epidural MMCHS is effective for postoperative pain control and minimizes the occurrence of PONV after posterior lumbar spinal surgery. (tmu.edu.tw)
Research in newborn animals has revealed that failure to provide analgesia for pain results in "rewiring" of the nerve path-ways responsible for pain transmission in the dorsal horn of the spinal cord, resulting in increased pain perception of future painful insults. (nysora.com)

Patients and methods: A prospective randomized clinical study done on 52 patients, they were divided equally into two groups: Group M (Morphine) received (0.1mg/kg), and Group F (Fentanyl) received (1ug/kg) on induction, and supplemented by effective rescue analgesia. (bvsalud.org)

Very popular method for the preemptive analgesia is epidural analgesia which gets a analgesic effect with local anaesthetics before the start of surgical procedures. (icmart.org)
To evaluate the effect of preemptive analgesia of paracetamol and dipyrone in vital teeth professionally whitened in office. (bvsalud.org)
Dipyrone 500 mg exhibited higher effectiveness than Paracetamol 500 mg in the study population, as a technique of preemptive analgesia in tooth whitening procedure. (bvsalud.org)
An adjuvant therapy is the preemptive analgesia, which is a drug regimen prior to the nociceptive stimulus, aiming at preventing hyperalgesia and the subsequent pain amplification 1 . (bvsalud.org)

Effective analgesia is important after caesarean section but ın the literature there are no studies on the clinical efficiency of paracetamol (perfalgan) compared to meperidine in the postoperative analgesia after caesarean section. (ispub.com)
In this study, we compare the quality of analgesia and side effects of paracetamol versus meperidine for postoperative analgesia after elective caesarean section. (ispub.com)
Our resuts indicate that i.v. paracetamol has better analgesic potency than i.v. meperidine for postoperative analgesia after caesarean section. (ispub.com)
In our instutition it is general practice to administer meperidine for post-caesarean section analgesia. (ispub.com)
The purpose of this randomised, double blinded study was to compare the quality of analgesia and side effects of intravenous paracetamol 1 g versus intravenous meperidine 100 mg for postoperative analgesia after elective caesarean section. (ispub.com)
When compared to the opioids hydromorphone, , oxycodone, and pethidine (meperidine), former addicts showed a strong preference for heroin and morphine, suggesting that heroin and morphine are particularly susceptible to misuse and causing dependence. (riverfarmshrooms.com)
The effectiveness of the use of an absorbable low-dose morphine-soaked microfibrillar collagen hemostatic sponge placed on the surface of the dural sac (epidural MMCHS) was compared to patient-controlled analgesia (PCA) and intermittent intramuscular bolus injection of meperidine for postoperative pain contro after spine surgery. (tmu.edu.tw)
For postoperative pain control, 40 patients received epidural MMCHS, 48 patients received PCA, and 77 patients received meperidine injection. (tmu.edu.tw)

de Leon-Casaola OA, Lema MJ, Karabella D, Harrison P: Post-operative myocardial ischemia: Epidural versus intravenous patient-controlled analgesia: A pilot project. (asahq.org)
After extubation the mean VAS was 5 and the dose of morphine received in the post-operative room was 3.5 mg. (journal-jmsr.net)
In 2004, the National Institute for Health and Clinical Excellence produced guidance on the management of caesarean section, which recommended the use of intrathecal or epidural diamorphine for post-operative pain relief. (riverfarmshrooms.com)

SOAP guidelines also recommend consideration of local anesthetic (LA) techniques, including regional nerve blocks, in situations when long acting neuraxial morphine is not used. (asra.com)
Neonates undergoing outpatient surgery or surgery associated with minor postoperative pain are frequently given acetaminophen with regional or local anesthetic infiltration after surgery. (medscape.com)
In comparison to epidural blocks, epidural injections of local anesthetic, steroids, or both are considered for the treatment of radicular pain symptoms secondary to disk herniation or postsurgical radicular pain. (medscape.com)

The incidence of postoperative acute as well as chronic pain is very high which has a tremendous impact on the mother, family, healthcare providers, and healthcare delivery. (researchsquare.com)
A single 0.5mg/kg dose of ketamine has been shown to decrease the incidence of postoperative delirium. (xenonhealth.com)

Epidural morphin , at the present, is very useful and popular analgesic method during intraoperative and postoperative period. (icmart.org)
In healthy cats, death was equally divided between the intraoperative and postoperative periods, whereas in sick cats, more deaths occurred during induction and surgery than postoperatively. (vin.com)

Different postoperative pain management modalities have been practiced after cesarean section over the years. (researchsquare.com)

Effects of Postoperative Patient Controlled Epidural Analgesia in Pediatric Patients Undergoing Lower Extremity Surgery. (ekja.org)
A limited number of studies have been conducted on postoperative epidural analgesia in pediatric patients. (ekja.org)
This study shows that PCEA targeted at the surgical dermatome is a safer and more effective regimen for postoperative pain relief than conventional postoperative pain relief in pediatric patients undergoing lower extremity surgery. (ekja.org)
Several studies have documented the inability of nurses, physicians, and parents/guardians to correctly identify and treat pain, even in postoperative pediatric patients. (nysora.com)

Transversus abdominis plane block versus perioperative intravenous lidocaine versus patient-controlled intravenous morphine for postoperative pain control after laparoscopic colorectal surgery: study protocol for a prospective, randomized, double-blind controlled clinical trial. (druglib.com)
Comparison of continuous thoracic epidural with paravertebral block on perioperative analgesia and hemodynamic stability in patients having open lung surgery. (journal-jmsr.net)

We concluded that, epidural levobupivacaine plus morphine combination reduced intraoperative anesthetic concentration, supplied longer postoperative analgesia and required less rescue postoperative analgesic than sole levobupivacine, but it caused higher sedation. (hoajonline.com)
Immediately after tracheal extubation, analgesia, sedation, heart rate, respiratory rate, and arterial blood pressure were measured at predetermined intervals and every 60 min thereafter until the first rescue analgesic. (scielo.br)
For women who have had intrathecal opioids, there should be a minimum hourly observation of respiratory rate, sedation and pain scores for at least 12 hours for diamorphine and 24 hours for morphine. (riverfarmshrooms.com)

Beattie WS, Buckley DN, Forrest JB: Anaesthetic techniques: Epidural morphine reduces the risk of postoperative myocardial ischaemia in patients with cardiac risk factors. (asahq.org)
Epidural nalbuphine significantly reduces the intra-operative isoflurane requirement and provides prolonged postoperative analgesia after ovariohysterectomy in dogs. (scielo.br)
Epidural morphine reduces halothane MAC in the dog. (scielo.br)

After surgery and after asking for pain medication, patients had access to intravenous patient-controlled analgesia fentanyl for breakthrough pain as needed. (silverchair.com)
Postoperative intravenous patient-controlled analgesia fentanyl use, time to first postoperative fentanyl use, pain intensity at rest and with activity, patient and surgeon ratings of pain control, and adverse events were recorded. (silverchair.com)
Palmer CM, Cork RC, Hays R, Van Maren G, Alves D. The dose-response relation of intrathecal fentanyl for labor analgesia. (scielo.br)
fentanyl Short-term addiction studies by the same researchers demonstrated that tolerance developed at a similar rate to both heroin and morphine. (riverfarmshrooms.com)
When postoperative VAS score â ¥4 , patients in Group M received 5mg morphine as bolus ,and re-assess pain every 5 min to give another bolus ( the total allowed dose was 15mg/3-4h).For Group F 50ug fentanyl was given as a bolus ,and could be repeated (total allowed dose was 100 ug/1-2h. (bvsalud.org)
Le but de ce travail était d'évaluer la qualité de l'analgésie chez des parturientes ayant bénéficié d'une césarienne pratiquée sous rachianesthésie associant bupivacaïne, fentanyl et morphine. (bvsalud.org)
Les critères d'inclusion étaient: être opérée pour césarienne en chirurgie programmée ou en urgence relative, être sous rachianesthésie réalisée avec l'association bupivacaïne, fentanyl et morphine. (bvsalud.org)

Histologic examination of surgical biopsy samples obtained from affected areas of muscle and fat during a subsequent dorsal laminectomy led to a diagnosis of idiopathic sterile inflammation of epidural fat. (avma.org)
Trials cited [2,3] by de Leon-Casasola and Lema as evidence that postoperative analgesia impacts cardiac outcome studied other surgical populations, including intraabdominal procedures. (asahq.org)
Issues that may eventually affect decisions about postoperative pain management should be addressed, including the patient's coexisting disease states, the surgical site, the patient's postoperative disposition, and the family consent for pain-management techniques that under consideration. (medscape.com)
BACKGROUND: Despite the laparoscopic approach becoming the standard in colorectal surgery, postoperative pain management for minimally invasive surgery is still mainly based on strategies that have been established for open surgical procedures. (druglib.com)
This could really present a challenge for dealing with surgical and postoperative pain management. (medscape.com)

The postoperative pain is considered as typical acute pain. (icmart.org)
Acetaminophen as an adjunct to morphine by patient-controlled analgesia in the management of acute postoperative pain. (pain.org.tw)

After caesarean section, parenteral acetaminophen, opioids and NSAIDS are commonly used for postoperative analgesia ( 5 , 6 ). (ispub.com)
This includes the administration of long-acting neuraxial opioids such as morphine, scheduled non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen, and rescue oral opioids for breakthrough pain. (asra.com)
In addition to neuraxial morphine, NSAIDs and acetaminophen should be administered on a scheduled basis, 11 starting preoperatively or intraoperatively, 12 and should be given concurrently. (asra.com)

Addition of preservative-free morphine (0.1-0.3 mg) can prolong postoperative analgesia up to 24 h, but requires monitoring for delayed postoperative respiratory depression. (brainkart.com)

Epidural block was performed with levobupivacaine (0.125%) plus morphine (30μg/kg) in group I patients, and sole levobupivacaine (0.25%) in group II patients. (hoajonline.com)
In the first postoperative day, the number of the patients who required rescue analgesic was 7 in group I and 18 in group II (p=0.003). (hoajonline.com)
As we pointed out in our discussion of these results, patients undergoing lower extremity PVS probably do not experience the same intensity of postoperative pain as do patients undergoing other types of surgery, such as intraabdominal procedures. (asahq.org)
Methods Forty-five patients were assigned to 1 of 3 groups, patient-controlled analgesia with morphine (PCA), femoral nerve block (FNB), or psoas compartment block (PCB). (bmj.com)
In 4 patients of the PCB group, an epidural diffusion was noted. (bmj.com)
Methods: Sixty-Two patients underwent laparoscopic donor nephrectomy and were randomized to receive QLB (n = 31) or continuous epidural (n = 31). (ui.ac.id)
Given these important limitations of the traditional strategies for postoperative analgesia, effective and efficient alternatives in patients undergoing laparoscopic colorectal surgery are needed. (druglib.com)
We reviewed the charts of 19 patients who had total esophagectomy to see whether the method of postoperative pain relief influenced the length of hospital stay and cost of the procedure. (mcmaster.ca)
The patients received either intravenous (group M) or epidural (group E) morphine for postoperative pain. (mcmaster.ca)
Patients are able to control their pain with patient-controlled epidural analgesia (PCEA) in a manner similar manner to that of intravenous patient-controlled analgesia (IV PCA). (medscape.com)
Epidural injections do not alter the course of the underlying process but may offer effective pain relief in selected patients. (medscape.com)
Diamorphine continues to be widely used in palliative care in the UK, where it is commonly given by the subcutaneous route, often via a syringe driver if patients cannot easily swallow morphine solution. (riverfarmshrooms.com)
Postoperative respiratory problems in morbidly obese patients. (edu.pl)
MMA improves postoperative pain control, subsequently improves patients' satisfaction and quality of recovery. (pain.org.tw)

In the recovery room, all 3 groups received initial intravenous morphine titration if their pain score was higher than 30 on a 100-mm visual analog scale (VAS), and then a PCA device was initiated. (bmj.com)

Postoperative Analgesia After Total-Hip Arthroplasty: Comparison of Intravenous Patient-Controlled Analgesia With Morphine and Single Injection of Femoral Nerve or Psoas Compartment Block. (bmj.com)
Postoperative sciatic and femoral nerve palsy with reference to leg lengthening and medialization/lateralization of the hip joint following total hip arthroplasty. (jcorth.com)

Finally, anxiety among family members concerning a pain-control strategy should be thoroughly addressed and considered in decision-making about postoperative pain management. (medscape.com)
Background: Epidural analgesia as the effective pain management for abdominal surgery has side effects such as paresthesia, hypotension, hematomas, and impaired motoric of lower limbs. (ui.ac.id)
In the ever-expanding field of interventional pain management, epidural injections of pain medications like steroids play an important role in chronic pain management. (medscape.com)

Sufentanil analgesia following cesarean section: epidural versus intravenous administration. (scielo.br)
Inadequately managed postoperative pain after cesarean section has a number of consequences to the mother in the postoperative period. (researchsquare.com)

Data at this time suggest peripheral nerve blocks provide analgesic benefit in cases where intrathecal morphine cannot be utilized or as a rescue technique for refractory pain. (asra.com)

Effects of intravenous patient-controlled analgesia with morphine, continuous epidural analgesia, and continuous three-in-one block on postoperative pain and knee rehabilitation after unilateral total knee arthroplasty. (thieme-connect.com)
Does postoperative epidural analgesia increase the risk of peroneal nerve palsy after total knee arthroplasty? (jcorth.com)

Morphine and heroin were also much more likely to produce euphoria and other "positive" subjective effects when compared to these other opioids. (riverfarmshrooms.com)
Heroin, a highly addictive drug, is derived from the morphine alkaloid found in opium poppy plant (Papaver somniferum) and is roughly 2 to 3 times more potent than morphine. (bestleanonline.com)
Medical grade diamorphine is used as a pure hydrochloride salt which is distinguished from black tar heroin, a variable admixture of morphine derivatives predominantly 6-MAM (6-monoacetylmorphine), which is the result of crude acetylation during clandestine production of street heroin. (bestleanonline.com)
When given by injection into a vein, Pure Heroin for sale has two to three times the effect of a similar dose of morphine. (bestleanonline.com)
Pure Heroin for sale was first made by C. R. Alder Wright in 1874 from morphine, a natural product of the opium poppy. (bestleanonline.com)
Heroin vs morphine for cancer pain? (mcmaster.ca)

The dose of morphine received during the 48heurs was 13mg. (journal-jmsr.net)

Inadequate analgesia can hinder recovery and potentially play a role in the development of chronic pain. (silverchair.com)
Alterations in brain metabolism induced by chronic morphine treatment: NMR studies in rat CNS. (mcmaster.ca)
Consequences of inadequate postoperative pain relief and chronic persistent postoperative pain. (pain.org.tw)

Effective analgesia is important after caesarean section to provide the mother, early ambulation and discharge, hence leading to greater overall patient satisfaction. (ispub.com)

Conclusions PCA is an efficient and safe analgesia technique. (bmj.com)

A prospective, multicentre, observational cohort study of analgesia and outcome after pneumonectomy. (journal-jmsr.net)

Epidural analgesia provides excellent analgesia, but is increasingly scrutinized in laparoscopic surgery since postoperative pain after the laparoscopic approach is significantly reduced. (druglib.com)

Anatomy12

Organisms1

Diseases14

Chemicals and Drugs65

Analytical, Diagnostic and Therapeutic Techniques and Equipment63

Psychiatry and Psychology5

Phenomena and Processes12

Health Care13

Opioid17

Relieving postoperative pain1

Catheter9

Bupivacaine13

Anesthesia14

Multimodal Analgesia5

Patient-controlled intravenous analgesia3

Analgesics1

Thoracotomy6

Supplemental analgesia2

Preoperative2

Treatment of postoperative pain2

Management of postoperative2

Nausea3

Complications5

Efficacy5

Opioids for postoperative pain1

Blockade2

Effects of epidural2

Indwelling epidural catheters2

Consumption4

Continuous epidural block5

Duration5

Spinal7

Rescue analgesia1

Preemptive analgesia4

Meperidine8

Post-operative3

Local anesthetic3

Incidence2

Intraoperative and postoperative2

Different postoperative1

Pediatric patients4

Perioperative2

Sedation3

Reduces3

Fentanyl7

Surgical5

Acute2

Acetaminophen3

Respiratory depression1

Patients14

Intravenous morphine1

Femoral2

Pain management3

Cesarean section2

Intrathecal1

Total knee arthroplasty2

Heroin6

Dose of morphine1

Chronic3

Caesarean section1

Conclusions1

Cohort study1

Laparoscopic1