Comparison of a single injection of morphine versus ketamine or neostigmine into the epidural space on postoperative analgesia and hormonal stress response after spinal anesthesia
Joint Authors
al-Khidr, Jalal A.
al-Shafii, Muhammad A.
al-Sayyid, Ahmad M.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 7, Issue 3 (31 Dec. 2014), pp.417-422, 6 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2014-12-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background In patients undergoing lower extremity orthopedic procedures who receive spinal anesthesia, an epidural injection of morphine, ketamine, or neostigmine has an effect on postoperative analgesia duration and hormonal stress response.
Patients and methods We carried out a prospective, randomized study comparing the effects of addition of 0.6 mg morphine versus 50 mg ketamine versus 60 μg neostigmine into the epidural space in patients who received spinal anesthesia in terms of postoperative analgesia duration and hormonal stress response.
Results There was marked prolongation in the postoperative analgesia (428 ± 257) and attenuation of the hormonal stress response in the morphine group compared with the other groups.
Also, neostigmine led to prolongation of postoperative analgesia and attenuation of stress response but less than morphine (363 ± 119).
Conclusion The preemptive morphine injection into the epidural space could attenuate hormonal stress response and led to prolongation in the postoperative analgesia period.
American Psychological Association (APA)
al-Khidr, Jalal A.& al-Shafii, Muhammad A.& al-Sayyid, Ahmad M.. 2014. Comparison of a single injection of morphine versus ketamine or neostigmine into the epidural space on postoperative analgesia and hormonal stress response after spinal anesthesia. Ain Shams Journal of Anesthesiology،Vol. 7, no. 3, pp.417-422.
https://search.emarefa.net/detail/BIM-652334
Modern Language Association (MLA)
al-Khidr, Jalal A.…[et al.]. Comparison of a single injection of morphine versus ketamine or neostigmine into the epidural space on postoperative analgesia and hormonal stress response after spinal anesthesia. Ain Shams Journal of Anesthesiology Vol. 7, no. 3 (Sep. / Dec. 2014), pp.417-422.
https://search.emarefa.net/detail/BIM-652334
American Medical Association (AMA)
al-Khidr, Jalal A.& al-Shafii, Muhammad A.& al-Sayyid, Ahmad M.. Comparison of a single injection of morphine versus ketamine or neostigmine into the epidural space on postoperative analgesia and hormonal stress response after spinal anesthesia. Ain Shams Journal of Anesthesiology. 2014. Vol. 7, no. 3, pp.417-422.
https://search.emarefa.net/detail/BIM-652334
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 422
Record ID
BIM-652334