title: [Peridural morphine administration for postoperative analgesia on the general medical unit].
abstract: With the present study the risk of postoperative peridural analgesia with morphine on ordinary wards should be estimated. 50 patients undergoing gynecological laparotomies received 3 mg morphine by a peridural catheter for postoperative pain relief. The degree of postoperative pain was objectivated by a visual analogue scoring system (1-10). Mean duration of analgesia was 11 hours. The pain score ranged between 1 and 3. The acceptance was very well. Heart rate and mean arterial pressure remained stable. Blood gas analyses showed a slight increase of the pCO2 with no clinical importance. The advantages of epidural morphine are: low dose, long duration, lack of sedation and the discharge of nurses. Experienced anesthesiologists visited all patients once a day. The nurses are educated to recognize complications.
authors.affiliation: Abteilung Gynäkologie, St. Antonius-Hospitals Eschweiler.
authors.forename: C
authors.initials: C
authors.lastname: Karl
authors.forename: D
authors.initials: D
authors.lastname: Peiper
authors.forename: H G
authors.initials: HG
authors.lastname: Lühr
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015360:Analgesia, Epidural; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage* / Q000009:adverse effects; D010048:Ovarian Cysts / Q000601:surgery; D010052:Ovariectomy; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*
chemical_list: D009020:Morphine
vernacular_title: Peridural appliziertes Morphin zur postoperativen Analgesie auf der Allgemeinstation.