| Título: | Spinal blocks with and without morphine in women undergoing hysterectomies - a randomized study |
| Autores: |
Marion, EK; Karolinska Institutet, Department of Clinical Science and Education, Department of Obstetrics and Gynecology, Södersjukhuset, Stockholm, Sweden Hansen, Krystyna; Karolinska Institutet, Department of Clinical Science and Education, Department of Obstetrics and Gynecology, Södersjukhuset, Stockholm, Sweden Tegerstedt, Gunilla E; Karolinska Institutet, Department of Clinical Science and Education, Department of Obstetrics and Gynecology, Södersjukhuset, Stockholm, Sweden Svensen, Christer H; Head, Research and Education, Karolinska Institutet, Department of Clinical Science and Education, Section of Anesthesiology and Intensive Care, Södersjukhuset, Stockholm, Sweden Andrijauskas, Andrius; Vilnius University Clinic of Anaesthesiology and Intensive Care Drobin, Dan; Department of Anesthesiology, Linköping University Hospital, Linköping, Sweden |
| Fecha: | 2010-02-02 |
| Publicador: | Sri Lankan journal of Anaesthesiology |
| Fuente: |
 |
| Tipo: |
info:eu-repo/semantics/article Peer-Reviewed Item info:eu-repo/semantics/publishedVersion |
| Tema: |
Anaesthesiology hysterectomy, pain, nausea, intrathecal, patient-controlled analgesia |
| Descripción: | Objective: To study whether a group of patients going through abdominal hysterectomies under general anesthesia could reduce their time of discharge and consumption of parenteral opioids by adding morphine to an intrathecal block. Methods: Sixty seven healthy women, undergoing abdominal hysterectomies. Patients had general anesthesia in combination with spinal blocks. Randomization between intrathecal blocks with morphine (group 1) and without morphine (group 2), in combination with either postoperative intermittent (group 1) or patient controlled analgesia (group 2). Results: The median time to discharge in group 1 was 53 hours and in group two 69 hours. Time of discharge was not statistically significant (p = 0.51). The patients in group 2 had significantly higher visual analogue scores for pain postoperatively. More postoperative opioids were also consumed in that group (p < 0.0001). Furthermore, significantly more patients in group 2 compared to group1 indicated that they had suffered from major nausea (p=0.01). Conclusion: In summary, we conclude that intrathecal block with morphine in combination with postoperative nurse administered opioids did not show a difference in time to discharge compared to intratechal block without morphine in combination with PCA. However, there was a significant reduction in the level of pain and nausea as well as consumption of postoperative opioids. Based on the questionnaire, significantly more patients suffered from major nausea in the group without intrathecal morphine. Keywords: hysterectomy, pain, nausea, intrathecal, patient-controlled analgesia DOI: 10.4038/slja.v18i1.1557 Sri Lankan Journal of Anaesthesiology 18(1): 23-28 (2010) |
| Idioma: | Inglés |
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