[Spinal anesthesia and morphine analgesia in prostatic surgery].
The authors compare the effects of either 0,5 or one milligram of intrathecally injected morphine on the post-operative course of 45 patients scheduled for transvesical prostatectomy. The patients were randomly assigned to three groups. Group A patients served as reference and were anesthetized by intrathecal injection of prilocaine 100 mg. Group B and C patients underwent the same anaesthetic procedure but prilocaine was injected simultaneously with either 0,5 (B) or one milligram (C) of morphine. Group A patients experienced postoperative pain for eighteen hours and requiring a mean subcutaneous dose of 20 mg of morphine. B and C patients had a satisfactory degree of analgesia. Nevertheless, there was a statistically significant difference of analgesia scores between groups C and B. The group C patients remained free of respiratory impairment. One mg of intrathecal morphine seems optimal for analgesia after prostatectomy.
Mora
C
C
Dupuis
J L
JL
Feiss
P
P
D000775:Anesthesia, Spinal; D004338:Drug Combinations; D006801:Humans; D007278:Injections, Spinal; D008297:Male; D009020:Morphine / Q000008:administration & dosage*; D011318:Prilocaine / Q000008:administration & dosage*; D011468:Prostatectomy; D011470:Prostatic Hyperplasia / Q000601:surgery*
D004338:Drug Combinations; D011318:Prilocaine; D009020:Morphine
Rachianesthésie et analgésie morphinique dans la chirurgie prostatique.