umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Interpleural morphine vs bupivacaine for postthoracotomy pain relief.
Department of Anesthesiology, National Research Institute of Tuberculosis and Lung Disease, Dr. Masih Daneshvari Hospital, Shahid Beheshti University, MC, Tehran, Iran. .
Department of Anesthesiology, National Research Institute of Tuberculosis and Lung Disease, Dr. Masih Daneshvari Hospital, Shahid Beheshti University, MC, Tehran, Iran. .
Department of Anesthesiology, National Research Institute of Tuberculosis and Lung Disease, Dr. Masih Daneshvari Hospital, Shahid Beheshti University, MC, Tehran, Iran. .
Department of Anesthesiology, National Research Institute of Tuberculosis and Lung Disease, Dr. Masih Daneshvari Hospital, Shahid Beheshti University, MC, Tehran, Iran. .
2008 (English)In: Asian Cardiovascular and thoracic annals, Vol. 16, no 5, 370-4 p.Article in journal (Refereed) Published
Abstract [en]

This prospective randomized double-blind trial was designed to compare the analgesic effects of interpleural bupivacaine and interpleural morphine for postthoracotomy pain management. Thirty-six American Society of Anesthesiologists class I and II patients undergoing an elective posterolateral thoracotomy were randomly divided into 2 groups of 18 each. Before chest closure, an interpleural catheter was inserted under direct vision. At the end of the operation and every 4 hours thereafter, they received either 0.25% bupivacaine with epinephrine or 0.2 mg x kg(-1) morphine sulfate interpleurally for 24 hours. The chest tubes were clamped during injection and for 15 min afterwards. Supplementary doses of intravenous morphine were given on request. The pain severity was evaluated at rest and on coughing before and 30 min after each interpleural injection, using an 11-point visual analog scale. Supplemental analgesic consumption and side effects were recorded. Both interpleural morphine and bupivacaine significantly reduced pain scores 30 min after each injection. However, pain scores and supplementary analgesic requirements were significantly lower in the interpleural morphine group. No serious side effects were detected in either group. Interpleural morphine provides better pain control than interpleural bupivacaine after a posterolateral thoracotomy.

Place, publisher, year, edition, pages
2008. Vol. 16, no 5, 370-4 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-70115OAI: oai:DiVA.org:umu-70115DiVA: diva2:619574
Available from: 2013-05-05 Created: 2013-05-05 Last updated: 2013-05-05

Open Access in DiVA

No full text

Search in DiVA

By author/editor
Padyab, Mojgan
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 46 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf