POSTOPERATIVE ANALGESIA AFTER PEDIATRIC ORCHIDOPEXY - EVALUATION OF A BUPIVACAINE-MORPHINE MIXTURE

被引：59
作者：
WOLF, AR
HUGHES, D
WADE, A
MATHER, SJ
PRYSROBERTS, C
机构：
[1] Sir Humphry Davy Department of Anaesthesia, University of Bristol, Bristol Royal Hospital for Sick Children
来源：
BRITISH JOURNAL OF ANAESTHESIA | 1990年 / 64卷 / 04期
关键词：
Anaesthesia: paediatric; Anaesthetic techniques: caudal; Anaesthetics local: bupivacaine; Analgesics: morphine; Pain: postoperative;
D O I：
10.1093/bja/64.4.430
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Summary: The value of combining morphine with bupi-vacaine for caudal analgesia was investigated. Thirty children, undergoing orchidopexy, received a caudal block of 0.125% bupivacaine with or without morphine 0.05 mg kg-1. Analgesia, side-effects, ventilatory frequency and oxygen saturation (Sao2) were recorded after operation. None of the 15 patients receiving the bupivacaine-morphine mixture required postoperative opioids, whereas eight of 15 patients receiving bupivacaine alone needed additional opioid analgesia. The incidence of side effects after surgery was similar for the two groups and there was no detectable difference in ventilatory frequency or Sao2. © 1990 British Journal of Anaesthesia.
引用
收藏
页码：430 / 435
页数：6
相关论文
共 17 条
[1]  
AKERMAN B, 1988, ANESTH ANALG, V67, P943
[2]   EPIDURAL MORPHINE IN CHILDREN - PHARMACOKINETICS AND CO2 SENSITIVITY [J].
ATTIA, J ;
ECOFFEY, C ;
SANDOUK, P ;
GROSS, JB ;
SAMII, K .
ANESTHESIOLOGY, 1986, 65 (06) :590-594
[3]   CAUDAL BLOCK FOR POSTOPERATIVE ANALGESIA IN CHILDREN [J].
BRAMWELL, RGB ;
BULLEN, C ;
RADFORD, P .
ANAESTHESIA, 1982, 37 (10) :1024-1028
[4]  
BROADMAN LM, 1987, ANESTHESIA ANALGESIA, V66, pS191
[5]  
DODDS C, 1988, BRIT J ANAESTH, V60, pP343
[6]  
Glantz S., 1981, PRIMER BIOSTATISTICS
[7]   COMPARISON OF CAUDAL AND ILIOINGUINAL ILIOHYPOGASTRIC NERVE BLOCKS FOR CONTROL OF POST-ORCHIOPEXY PAIN IN PEDIATRIC AMBULATORY SURGERY [J].
HANNALLAH, RS ;
BROADMAN, LM ;
BELMAN, AB ;
ABRAMOWITZ, MD ;
EPSTEIN, BS .
ANESTHESIOLOGY, 1987, 66 (06) :832-834
[8]   CAUDAL BLOCK FOR POSTOPERATIVE PAIN RELIEF IN CHILDREN AFTER GENITAL OPERATIONS - A COMPARISON BETWEEN BUPIVACAINE AND MORPHINE [J].
JENSEN, BH .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1981, 25 (05) :373-375
[9]  
KRANE E J, 1988, Anesthesiology (Hagerstown), V69, pA763
[10]  
KRANE EJ, 1987, ANESTH ANALG, V66, P647
12