Articles: postoperative-pain.
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Comparative Study
Transcutaneous electrical nerve stimulation and postoperative use of narcotic analgesics.
Transcutaneous electrical nerve stimulation (TENS) has been reported to reduce the use of narcotic analgesic medication for pain relief in the postoperative period. This study compares the use of narcotic analgesics and the occurrence of postoperative complications in 205 patients who underwent gastric bypass surgery for control of obesity. ⋯ The control group comprised 131 patients who did not use TENS. There were no statistically significant differences in the use of narcotic analgesic medication and the occurrence of postoperative complications between the experimental group and the control group.
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Anesthesia and analgesia · Jul 1983
Randomized Controlled Trial Clinical TrialEpidural morphine for the relief of postoperative pain after cesarean delivery.
To determine the safety, efficacy, and dose response of epidurally administered morphine for analgesia after cesarean delivery, 40 healthy women who underwent cesarean delivery with epidural anesthesia were randomly assigned to receive one of four regimens for relief of postoperative pain: intramuscular administration of morphine, 7.5 mg (N = 10); or epidural administration of morphine, 2 mg (N = 10), 5 mg (N = 10), or 7.5 mg (N = 10). Evaluations were made of intensity and relief of pain, time to administration of additional analgesic medications, changes in vital signs and blood-gas tensions, and adverse effects. Intramuscular administration of 7.5 mg of morphine effectively relieved pain for only a short time. ⋯ There were no significant changes in vital signs or blood-gas tensions. Side effects included pruritus and nausea, which occurred frequently but were usually mild and easily treated. We concluded that either 5 mg or 7.5 mg of morphine epidurally administered was effective and safe in providing prolonged analgesia after cesarean delivery.
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Ann R Coll Surg Engl · Jul 1983
Letter Comparative StudyAn open comparison between routine and self-administered postoperative pain relief.
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Irish medical journal · Jul 1983
Clinical Trial Controlled Clinical TrialDay case penile surgery with penile block for postoperative pain relief.
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Opiates such as morphine have a direct spinal effect, acting at special receptor sites in the dorsal horn. When morphine is administered epidurally, it diffuses to the cord substance, producing analgesia of improved quality after a dose of 2 to 4 mg. ⋯ Significant side effects are uncommon, but pronounced respiratory depression can occur late and careful observation is necessary. The first instance of paraplegia in association with epidural morphine anesthesia has been reported herein.