title: Intraspinal narcotic analgesia. A comparison of two methods of postoperative pain relief.
abstract: 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.
authors.affiliation: Robert H. Dedman Memorial Medical Center, Dallas, Texas.
authors.forename: R G
authors.initials: RG
authors.lastname: Johnson
authors.forename: M
authors.initials: M
authors.lastname: Miller
authors.forename: M
authors.initials: M
authors.lastname: Murphy
mesh_terms: 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
chemical_list: D009020:Morphine