Routine use of epidural morphine in patients following lumbar spine surgery

J. Ozuna, Kim Burchiel, T. Pencek

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

In order to evaluate the effectiveness of epidural morphine for postoperative pain in management, 45 patients who received epidural morphine after lumbar spine surgery (Group A) were compared to 22 patients who received traditional analgesia after lumbar spine surgery (Group B). Group A used significantly fewer parenteral and oral analgesics than did Group B during the first 24 h after surgery and during the time the epidural morphine was administered (1-3 days postoperatively). Although no patients in Group A had respiratory depression, about half experienced minor side effects from epidural morphine. Analysis of the possible relationship of the catheter tip position to the analgesic effect was also done in 20 of these patients. There was no relationship of the level of the catheter tip (T10 to L5) to the narcotic equivalents of supplemental narcotics used postoperatively. Thus, epidural morphine was an easy, safe, and effective means of increasing patient comfort and reducing analgesic requirements in the first few days after spinal surgery.

Original languageEnglish (US)
Pages (from-to)209-212
Number of pages4
JournalClinical Journal of Pain
Volume4
Issue number4
StatePublished - 1988
Externally publishedYes

Fingerprint

Morphine
Spine
Analgesics
Narcotics
Catheters
Pain Management
Postoperative Pain
Respiratory Insufficiency
Analgesia

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

Cite this

Routine use of epidural morphine in patients following lumbar spine surgery. / Ozuna, J.; Burchiel, Kim; Pencek, T.

In: Clinical Journal of Pain, Vol. 4, No. 4, 1988, p. 209-212.

Research output: Contribution to journalArticle

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