Intrathecal morphine in anesthesia for cesarean delivery: Dose-response relationship for combinations of low-dose intrathecal morphine and spinal bupivacaine
dc.contributor.buuauthor | Girgin, Nermin Kelebek | |
dc.contributor.buuauthor | Gurbet, Alp | |
dc.contributor.buuauthor | Türker, Gürkan | |
dc.contributor.buuauthor | Aksu, Hale | |
dc.contributor.buuauthor | Gülhan, Nevra | |
dc.contributor.department | Uludağ Üniversitesi/Tıp Fakültesi/Anesteziyoloji ve Reanimasyon Anabilim Dalı. | tr_TR |
dc.contributor.orcid | 0000-0002-3019-581X | tr_TR |
dc.contributor.orcid | 0000-0002-6503-8232 | tr_TR |
dc.contributor.researcherid | AAI-6642-2021 | tr_TR |
dc.contributor.researcherid | A-7994-2018 | tr_TR |
dc.contributor.researcherid | AAH-7250-2019 | tr_TR |
dc.contributor.researcherid | S-2847-2016 | tr_TR |
dc.contributor.scopusid | 55663009300 | tr_TR |
dc.contributor.scopusid | 7003400116 | tr_TR |
dc.contributor.scopusid | 16432662600 | tr_TR |
dc.contributor.scopusid | 7003400116 | tr_TR |
dc.contributor.scopusid | 6504394933 | tr_TR |
dc.date.accessioned | 2021-11-29T07:42:37Z | |
dc.date.available | 2021-11-29T07:42:37Z | |
dc.date.issued | 2008-05 | |
dc.description.abstract | Study objective: To evaluate the quality of analgesia and the severity of side effects of intrathecal morphine administered for a dose range of 0.0 to 0.4 mg for postcesarean analgesia with low-dose bupivacaine. Design: Double-blind, randomized study. Setting: University hospital. Patients: 100 ASA physical status I and II term parturients undergoing cesarean delivery with spinal anesthesia in the operating room. Interventions: Patients were randomized to one of 5 groups to receive 0.0, 0.1, 0.2, 0.3, or 0.4 mg intrathecal morphine in addition to low-dose (7.5 mg) heavy bupivacaine. Each patient received intravenous (IV) patient-controlled analgesia (PCA) with morphine after the operation. Measurements: 24-hour IV PCA morphine use and visual analog scores for pain were recorded. The severity score (4-point scale) of nausea, vomiting, and pruritus were assessed intraoperatively and at 4-hour intervals during the first 24 hours postoperatively. Main results: PCA morphine use was higher in the control group (0.0 mg) than in groups receiving 0.1, 0.2,03, or 0.4 mg intrathecal morphine. There was no difference in IV PCA morphine use between the 0.1 and 0.4-mg groups, despite a 4-fold increase in intrathecal morphine dose. There was no difference between groups in nausea and vomiting, but pruritus increased in direct proportion to the dose of intrathecal morphine (linear regression, P = 0.0001). Conclusions: The dose of 0.1 mg intrathecal morphine produces analgesia comparable with doses as high as 0.4 mg, with significantly less pruritus when combined with low-dose bupivacaine. | tr_TR |
dc.identifier.citation | Girgin, N. K. vd. (2008). ''Intrathecal morphine in anesthesia for cesarean delivery: Dose-response relationship for combinations of low-dose intrathecal morphine and spinal bupivacaine''. Journal of Clinical Anesthesia, 20(3), 180-185. | tr_TR |
dc.identifier.endpage | 185 | tr_TR |
dc.identifier.issn | 1873-4529 | |
dc.identifier.issn | 0952-8180 | |
dc.identifier.issue | 3 | tr_TR |
dc.identifier.pubmed | 18502360 | tr_TR |
dc.identifier.scopus | 2-s2.0-43849103004 | tr_TR |
dc.identifier.startpage | 180 | tr_TR |
dc.identifier.uri | https://doi.org/10.1016/j.jclinane.2007.07.010 | |
dc.identifier.uri | https://www.sciencedirect.com/science/article/pii/S0952818008000500 | |
dc.identifier.uri | http://hdl.handle.net/11452/22847 | |
dc.identifier.volume | 20 | tr_TR |
dc.identifier.wos | 000256730800005 | tr_TR |
dc.indexed.pubmed | Pubmed | tr_TR |
dc.indexed.scopus | Scopus | tr_TR |
dc.indexed.wos | SCIE | tr_TR |
dc.language.iso | en | tr_TR |
dc.publisher | Elsevier | tr_TR |
dc.relation.journal | Journal of Clinical Anesthesia | tr_TR |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | tr_TR |
dc.rights | info:eu-repo/semantics/closedAccess | tr_TR |
dc.subject | Anesthesiology | tr_TR |
dc.subject | Analgesia | tr_TR |
dc.subject | Bupivacaine | tr_TR |
dc.subject | Low-dose | tr_TR |
dc.subject | Cesarean delivery | tr_TR |
dc.subject | Morphine | tr_TR |
dc.subject | Intrathecal | tr_TR |
dc.subject | Section | tr_TR |
dc.subject | Analgesia | tr_TR |
dc.subject | Pain | tr_TR |
dc.subject | Sufentanil | tr_TR |
dc.subject | Efficacy | tr_TR |
dc.subject | Placebo | tr_TR |
dc.subject | Opioids | tr_TR |
dc.subject | Relief | tr_TR |
dc.subject.emtree | Bupivacaine | tr_TR |
dc.subject.emtree | Morphine | tr_TR |
dc.subject.emtree | Adult | tr_TR |
dc.subject.emtree | Article | tr_TR |
dc.subject.emtree | Cesarean section | tr_TR |
dc.subject.emtree | Clinical trial | tr_TR |
dc.subject.emtree | Controlled clinical trial | tr_TR |
dc.subject.emtree | Controlled study | tr_TR |
dc.subject.emtree | Dose response | tr_TR |
dc.subject.emtree | Double blind procedure | tr_TR |
dc.subject.emtree | Female | tr_TR |
dc.subject.emtree | Human | tr_TR |
dc.subject.emtree | Low drug dose | tr_TR |
dc.subject.emtree | Major clinical study | tr_TR |
dc.subject.emtree | Nausea | tr_TR |
dc.subject.emtree | Pain | tr_TR |
dc.subject.emtree | Patient | tr_TR |
dc.subject.emtree | Controlled analgesia | tr_TR |
dc.subject.emtree | priority journal | tr_TR |
dc.subject.emtree | Pruritus | tr_TR |
dc.subject.emtree | Randomized controlled trial | tr_TR |
dc.subject.emtree | Visual analog scale | tr_TR |
dc.subject.emtree | Vomiting | tr_TR |
dc.subject.mesh | Adult | tr_TR |
dc.subject.mesh | Analgesia | tr_TR |
dc.subject.mesh | Patient-controlled | tr_TR |
dc.subject.mesh | Analgesics, opioid | tr_TR |
dc.subject.mesh | Anesthesia, obstetrical | tr_TR |
dc.subject.mesh | Anesthesia, spinal | tr_TR |
dc.subject.mesh | Anesthetics, local | tr_TR |
dc.subject.mesh | Bupivacaine | tr_TR |
dc.subject.mesh | Cesarean section | tr_TR |
dc.subject.mesh | Cross-over studies | tr_TR |
dc.subject.mesh | Dose-response relationship, drug | tr_TR |
dc.subject.mesh | Double-blind method | tr_TR |
dc.subject.mesh | Female | tr_TR |
dc.subject.mesh | Humans | tr_TR |
dc.subject.mesh | Infusions, intravenous | tr_TR |
dc.subject.mesh | Injections, spinal | tr_TR |
dc.subject.mesh | Pain measurement | tr_TR |
dc.subject.mesh | Pain, postoperative | tr_TR |
dc.subject.mesh | Postoperative nausea and vomiting | tr_TR |
dc.subject.mesh | Morphine | tr_TR |
dc.subject.mesh | Pregnancy | tr_TR |
dc.subject.mesh | Pruritus | tr_TR |
dc.subject.scopus | Cesarean Section; Morphine Sulfate; Bupivacaine | tr_TR |
dc.subject.wos | Anesthesiology | tr_TR |
dc.title | Intrathecal morphine in anesthesia for cesarean delivery: Dose-response relationship for combinations of low-dose intrathecal morphine and spinal bupivacaine | tr_TR |
dc.type | Article | |
dc.wos.quartile | Q3 | tr_TR |
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