Common Bile Duct Pressure During Enflurane Anesthesia: Effects of Morphine and Subsequent Naloxone

Autor: Dedrick, Daniel F., Tanner, W. Woodrow, Bushkin, Frederic L.
Zdroj: Archives of Surgery; July 1980, Vol. 115 Issue: 7 p820-822, 3p
Abstrakt: • In ten otherwise healthy patients undergoing cholecystectomy and cholangiography, morphine sulfate, in a dose of 2.5 mg/70 kg body weight, significantly elevated common bile duct pressure, as measured by water manometry, two and five minutes after intravenous injection. There was no added effect from an additional 7.5 mg/70 kg, measured two and five minutes after injection. Naloxone hydrochloride, in a dose of 1.0 mg/70 kg body weight, quickly reversed the increase in pressure caused by the morphine. Radiographic contrast material passed into the duodenum in every patient after administration of naloxone.(Arch Surg 115:820-822, 1980)
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