| The Effects of Epidural Morphine and Bupivacaine after Upper Abdominal Surgery. |
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Yo Taek Shim, Hyun Kyu Choi, Young Jin Han, Huhn Choe |
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Department of Anesthesiology, Chon Buk National University Medical School, Korea. |
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| Abstract |
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Among various mehtods for postoperative pain management, epidural narcotics is one of the most prevalent techniques used by anesthesiologists. Although it is a highly effective analgesia, epidural morhpine has disadvantages such as delayed onset, nausea, vomiting, pruritus, urinary retension and even life-threatening respiratory depression. To search for a more effective analgesic mehtod with minimum side effects, we studied the effects of morphine, bupivacaine and a combination of each durg with different dosages in patients undergoing upper abdominal surgery. Hemodynamic changes, duration of analgesia, and side effects were compared. The results suggested that the combination of 2 mg of morphine and 0.125% of bupivacaine is the most effective method with minimum side effects for postoperative pain. |
| Key Words:
Epidural pain control; Morphine; Bupivaine |
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