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Gynecol. Obstet. Invest. · Jan 1990
Randomized Controlled Trial Clinical TrialPrevention of a side effect of epidural morphine by epidural steroid administration in cesarean section.
- A Etchin, A Perl, D Bider, and Z Ben Rafael.
- Department of Anesthesia, Chaim Sheba Medical Center, Ramat Aviv, Israel.
- Gynecol. Obstet. Invest. 1990 Jan 1; 29 (4): 305-6.
AbstractIn order to evaluate the effect of preventive corticosteroid on the occurrence of pruritus after epidural anesthesia with morphine, we studied 95 patients undergoing cesarean section. Thirty-seven patients (group I) were given 20 mg of bupivacaine 0.5% for the operation and 2 mg of morphine hydrochloride with 50 mg of Ultracortene-H immediately after the operation and 24 h later, and 58 patients (group II) were given epidural bupivacaine during the operation and epidural morphine hydrochloride immediately after the operation and 24 h later without Ultracortene-H. Only 8.1% of group I patients had pruritus after the injection compared to 20.6% in group II. We suggest that the addition of 50 mg Ultracortene-H to 2 mg epidural morphine analgesia after the operation might prevent severe forms of pruritus.
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