title: [Comparison of intrathecal morphine and buprenorphine for postoperative analgesia in cesarean delivery].
abstract: BACKGROUND
  It has become a popular practice to add opioids to spinal solutions to enhance and prolong intraoperative and postoperative analgesia in cesarean section. Morphine is the opioid most widely used for this purpose, but there are few reports about intrathecal buprenorphine. We evaluated the postoperative analgesic effect of intrathecal buprenorphine compared with intrathecal morphine after cesarean section.
  
  
  METHODS
  We retrospectively compared group B (n = 20) receiving tetracaine 10mg plus intrathecal buprenorphine 0.05 mg with group M (n = 24) receiving tetracaine 10 mg with intrathecal morphine 0.1 mg in elective cesarean section under spinal anesthesia.
  
  
  RESULTS
  There were no significant differences between the groups in time to first postoperative supplemental analgesics, times of using postoperative supplemental analgesics and antiemetics within 24 hours after operation, and the incidence of postoperative nausea and vomiting and pruritus.
  
  
  CONCLUSIONS
  It is concluded that intrathecal buprenorphine 0.05 mg provides similar postoperative analgesic effect with intrathecal morphine 0.1 mg without any increases of side-effects in cesarean section.
authors.affiliation: Department of Anesthesiology, Nagahama City Hospital, Nagahama 526-8580.
authors.forename: Shuji
authors.initials: S
authors.lastname: Kawamoto
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Tatsumi
authors.forename: Tomomi
authors.initials: T
authors.lastname: Kataoka
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kamikawa
authors.forename: Toyonobu
authors.initials: T
authors.lastname: Yanagida
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Mandai
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D002047:Buprenorphine / Q000008:administration & dosage*; D002585:Cesarean Section; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007278:Injections, Spinal; D009020:Morphine / Q000008:administration & dosage*; D010149:Postoperative Pain / Q000517:prevention & control*; D011247:Pregnancy; D012189:Retrospective Studies; D013748:Tetracaine / Q000008:administration & dosage
chemical_list: D000701:Analgesics, Opioid; D013748:Tetracaine; D002047:Buprenorphine; D009020:Morphine