• Tadas Lenkutis, Algimantas Bieliūnas, and Irmina Gedminaite.
• Clinic of Cardiac Surgery, Kaunas University of Medicine Hospital, Eiveniu 2, 3007 Kaunas, Lithuania.
• Medicina (Kaunas). 2002 Jan 1;38 Suppl 2:221-3.

ObjectiveThe aim of study was to evaluate features for spinal morphine in undergoing coronary artery bypass surgery in early postoperative time and side effects of opioids.Material And MethodsTwo groups of patients undergoing coronary artery bypass surgery were analyzed. In first group (15 patients) spinal morphine 2 mg and general anesthesia was used, control group (22 patients) - just general anesthesia. Postoperative pain was analyzed with VAS (Visual Analogical Scale). For analgesia, after surgery, was used piritramide via i/v in both groups. Dose of piritramide, extubation time and side effects was analysed after surgery.ResultsIn first group dose of piritramide was 4.5+/-1.1 mg, in control group - 16.5+/-1.1 mg (p<0.05). Extubation time in both groups (354+/-36 min. and 279+/-17 min.) and side effects (nausea and vomiting) was similar.ConclusionSpinal morphine decreased pain after cardiosurgery and don't increased extubation time and side effects of opioids.

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