Efficacy of sacral epidural blockade with bupivacaine versus morphine as pre-emptive analgesia for lumbar laminectomy surgeries
Joint Authors
Husayn, Id Mansi Muhammad
Muhammad, Jihan Sayf al-Nasr
al-Shair, Ahmad Najah al-Husayni
Abd al-Aziz, Abd al-Aziz Abd Allah
Muharram, Asim Adil
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 9, Issue 2 (30 Jun. 2016), pp.260-266, 7 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2016-06-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objectives Patients undergoing lumbar laminectomy experience severe pain in the postoperative period, which may increase the incidence of postoperative morbidity and complications.
Adequate pain relief hastens rehabilitation and decreases the incidence of chronic pain.
This study was designed to compare the effi cacy of pre-emptive image-guided caudal epidural blockade with bupivacaine at low concentrations versus morphine administration on the attenuation of the stress response during and after lumbar laminectomy surgeries.
Patients and methods Ninety adult American Society of Anaesthesiologists’ physical status I and II patients were scheduled to undergo a single-level lumbar laminectomy and were administered a pre-emptive caudal injection of either 30 ml of bupivacaine 0.125% (group A) or 50 μg/kg preservativefree morphine added to a total dose of 30 ml saline (group B) or 30 ml saline (group C).
Intraoperative vital data (heart rate, systolic, and diastolic blood pressure) were collected.
The postoperative verbal rating scale score, the time of the fi rst rescue analgesia, the total dose of rescue analgesia, and adverse effects were recorded for all patients in the fi rst 24 h after surgery.
Results The total verbal rating scale score and the need for rescue analgesia were signifi cantly less in group A and group B than in group C, indicating better analgesia.
There was no signifi cant difference between the three groups in itching or the sedation score.
Group C had a higher incidence of vomiting than groups A and B, whereas there was delayed ambulation in group A in comparison with the other groups.
Conclusion A single caudal epidural injection of morphine is a safe, simple, and effective technique that provides prolonged postoperative duration of analgesia with fewer analgesic requirements postoperatively with earlier patients’ ambulation without occurrence of any hemodynamic changes or increased incidence of adverse effects in lumber laminectomy surgeries
American Psychological Association (APA)
Husayn, Id Mansi Muhammad& Muhammad, Jihan Sayf al-Nasr& al-Shair, Ahmad Najah al-Husayni& Abd al-Aziz, Abd al-Aziz Abd Allah& Muharram, Asim Adil. 2016. Efficacy of sacral epidural blockade with bupivacaine versus morphine as pre-emptive analgesia for lumbar laminectomy surgeries. Ain Shams Journal of Anesthesiology،Vol. 9, no. 2, pp.260-266.
https://search.emarefa.net/detail/BIM-688361
Modern Language Association (MLA)
Husayn, Id Mansi Muhammad…[et al.]. Efficacy of sacral epidural blockade with bupivacaine versus morphine as pre-emptive analgesia for lumbar laminectomy surgeries. Ain Shams Journal of Anesthesiology Vol. 9, no. 2 (Apr. / Jun. 2016), pp.260-266.
https://search.emarefa.net/detail/BIM-688361
American Medical Association (AMA)
Husayn, Id Mansi Muhammad& Muhammad, Jihan Sayf al-Nasr& al-Shair, Ahmad Najah al-Husayni& Abd al-Aziz, Abd al-Aziz Abd Allah& Muharram, Asim Adil. Efficacy of sacral epidural blockade with bupivacaine versus morphine as pre-emptive analgesia for lumbar laminectomy surgeries. Ain Shams Journal of Anesthesiology. 2016. Vol. 9, no. 2, pp.260-266.
https://search.emarefa.net/detail/BIM-688361
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 266
Record ID
BIM-688361