• Agressologie · Jan 1992

    [Postoperative analgesia by intrathecal morphine and respiratory depression: value of low doses (apropos of 285 cases)].

    • P Koeberle, P Bourion, G Bettinger, and F Barale.
    • Service d'anesthésie-réanimation, Centre hospitalier et universitaire Saint-Jacques, Besançon.
    • Agressologie. 1992 Jan 1; 33 Spec No 1: 55-7.

    AbstractMorphine at very low dose gives a good post-operatory analgesia without major secondary effects. This study analyses retrospectively 285 spinal anaesthesia with hyperbaric 0.5% bupivacaine 0.2 mg.kg-1 and morphine 0.25 mg in adult urologic surgery. The analysis of enquiry in analgesic during the post-operatory period shows that in most cases (72%) the patients have supported the first 24 hours without any complementary analgesia; 28% of patients needs a complementary analgesia realized with 1 g of paracetamol. Intravenous morphinics have never been necessary in post-operative period. The analgesia was adequate for the patient's comfort, and it never mask a surgery complication. No respiratory complication appeared, even in 13 patients who needed intravenous morphinics in per-operative.

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