Intraspinal narcotic analgesia. A comparison of two methods of postoperative pain relief.
Postoperative analgesia using continuous epidural morphine or a single intrathecal injection of morphine has been compared with standard patient-controlled analgesia (PCA) in lumbar fusion patients. Pain relief with epidural morphine was dramatic in some cases (3/12) but was not predictable, and catheter displacement was a frequent occurrence. A single intrathecal bolus of morphine had no advantage over PCA alone. Complications of both intraspinal techniques included nausea and pruritus. No respiratory depression was observed.
Johnson
R G
RG
Robert H. Dedman Memorial Medical Center, Dallas, Texas.
Miller
M
M
Murphy
M
M
D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D006801:Humans; D007260:Infusion Pumps; D007278:Injections, Spinal; D008159:Lumbar Vertebrae / Q000601:surgery*; D009020:Morphine / Q000008:administration & dosage; D010149:Postoperative Pain / Q000188:drug therapy*; D013123:Spinal Fusion
D009020:Morphine