Journal of Clinical Anesthesia
Volume 22, Issue 5 , Pages 329-333 , August 2010

Comparison of 50 μg and 25 μg doses of intrathecal morphine on postoperative analgesic requirements in patients undergoing transurethral resection of the prostate with intrathecal anesthesia

  • Ates Duman, MD (Associate Professor of Anesthesiology)

      Affiliations

    • Selcuklu Medical Faculty, Department of Anesthesiology, Selcuk University, Konya, Turkey
    • ,
  • Seza Apiliogullari, MD (Assistant Professor of Anesthesiology)

      Affiliations

    • Selcuklu Medical Faculty, Department of Anesthesiology, Selcuk University, Konya, Turkey
    • Corresponding Author InformationCorresponding author. Department of Anesthesiology, Selcuklu Medical Faculty, Selcuk University, Konya, Turkey 42070. Tel.: +90 505 488 7014; fax: +90 332 241 0062.
    • ,
  • Mehmet Balasar, MD (Staff Urologist)

      Affiliations

    • Department of Urology, Konya Hospital, Konya, Turkey
    • ,
  • Recai Gürbüz, MD (Professor of Urology)

      Affiliations

    • Department of Urology, Meram Medical Faculty, Selcuk University, Konya, Turkey
    • ,
  • Murat Karcioglu, MD (Assistant Professor of Anesthesiology)

      Affiliations

    • Department of Anesthesiology and Intensive Care, Medical Faculty, Mustafa Kemal University, Hatay, Turkey

Received 11 July 2008 ,Revised 15 September 2009 ,Accepted 26 September 2009.

References 

  1. Özmen S, Kosar A, Soyupek S, Armagan A, Hoscan MB, Aydin C. The selection of the regional anesthesia in the transurethral resection of the prostate (TURP) operation. Int Urol Nephrol. 2003;35:507–512
  2. Cunningham AJ, McKenna JA, Skene DS. Single injection spinal anaesthesia with amethocaine and morphine for transurethral prostatectomy. Br J Anaesth. 1983;55:423–427
  3. Kirson LE, Goldman JM, Slover RB. Low-dose intrathecal morphine for postoperative pain control in patients undergoing transurethral resection of the prostate. Anesthesiology. 1989;71:192–195
  4. Sakai T, Use T, Shimamoto H, Fukano T, Sumikawa K. Mini-dose (0.05 mg) intrathecal morphine provides effective analgesia after transurethral resection of the prostate. Can J Anaesth. 2003;50:1027–1030
  5. Bowrey S, Hamer J, Bowler I, Symonds C, Hall JE. A comparison of 0.2 and 0.5 mg intrathecal morphine for postoperative analgesia after total knee replacement. Anaesthesia. 2005;60:449–452
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  8. Labbene I, Lamine K, Gharsallah H, et al. Spinal anesthesia for endoscopic urological surgery–low dose vs. varying doses of hyperbaric bupivacaine. Middle East J Anesthesiol. 2007;19:369–384
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  10. Liebeskind JC. Multiple mechanisms of pain inhibition intrinsic to the central nervous system. Anesthesiology. 1981;54:445–446
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  12. Ruan X. Drug-related side effects of long-term intrathecal morphine therapy. Pain Physician. 2007;10:1356–1363
  13. Chaney MA. Side effects of intrathecal and epidural opioids. Can J Anaesth. 1995;42:891–903
  14. Rutili A, Maggiani M, Bertelloni C, Molinari D. Persistent overdose caused by a very small dose of intrathecal morphine in an elderly patient undergoing vaginal hysterectomy: a case report. Minerva Anestesiol. 2007;73:433–436
  15. Warwick JP, Kearns CF, Scott WE. The effect of subhypnotic doses of propofol on the incidence of pruritus after intrathecal morphine for caesarean section. Anaesthesia. 1997;52:270–275
  16. Beers RA, Kane PB, Nsouli I, Krauss D. Does a mid-lumbar block level provide adequate anaesthesia for transurethral prostatectomy?. Can J Anaesth. 1994;41:807–812
  17. Kararmaz A, Kaya S, Turhanoglu S, Özyilmaz MA. Low-dose bupivacaine-fentanyl spinal anaesthesia for transurethral prostatectomy. Anaesthesia. 2003;58:526–530

PII: S0952-8180(10)00140-6

doi: 10.1016/j.jclinane.2009.09.006

Journal of Clinical Anesthesia
Volume 22, Issue 5 , Pages 329-333 , August 2010

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