A randomised, controlled trial of rectus sheath bupivacaine and intrathecal bupivacaine, without or with intrathecal morphine, vs. intrathecal bupivacaine and morphine after caesarean section
| Autor: | Man-Wa Lui, T. K. T. Li, C. Y. T. Ong, F. Lui |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Intrathecal Intrathecal morphine law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law Pregnancy medicine Anesthesia Obstetrical Humans Caesarean section 030212 general & internal medicine Anesthetics Local Saline Injections Spinal Pain Measurement Bupivacaine Pain Postoperative Morphine business.industry Cesarean Section Nerve Block Rectus sheath Surgery Analgesics Opioid Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Female business medicine.drug |
| Zdroj: | Anaesthesia. 72(10) |
| ISSN: | 1365-2044 |
| Popis: | We recruited 144 women of whom 131 underwent scheduled caesarean section and were allocated to intrathecal bupivacaine without (46) or with (47) morphine and postoperative rectus sheath bupivacaine; or intrathecal bupivacaine with morphine and postoperative rectus sheath saline (38). We measured postoperative pain with a 10-point numeric rating scale. The mean (SD) areas under the curve for pain on movement during 48 postoperative hours were 273.5 (63.6), 223.8 (80.7) and 223.8 (80.7), respectively, p = 0.008. There was no difference between women who had intrathecal morphine with or without rectus sheath bupivacaine, p = 1. The equivalent values for pain at rest were 160.8 (64.7), 85.8 (79.4) and 82.8 (74.3), respectively, p < 0.001. There was no difference between women who had intrathecal morphine with or without rectus sheath bupivacaine, p = 0.98. |
| Databáze: | OpenAIRE |
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