Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2001-7-4
pubmed:abstractText
The reduction in acute pain perception following dextromethorphan has previously been investigated in patients undergoing general anaesthesia. This random and double-blind study examined the effects of pre-incisional oral dextromethorphan on postoperative pain and intravenous patient-controlled morphine demand in 60 day-surgery patients undergoing lower body surgery under lidocaine (1.6%-16 ml) epidural anaesthesia after receiving placebo, 60 or 90 mg dextromethorphan, 90 min pre-operatively. Postoperative pain was scored on a visual analogue scale from 1 to 10. In-hospital observation continued for 6 h and for 3 days at home; diclofenac was available throughout. Dextromethorphan-treated patients reported significantly (p < 0.05) less pain and sedation, and felt better. Patients who received dextromethorphan 90 mg had significantly (p < 0.05) lower heart and respiratory rates than those who received 60 mg. Medicated patients required half the morphine and diclofenac of placebo patients: 38% of patients who received 90 mg and 21% who received dextromethorphan 60 mg used no morphine or diclofenac whatsoever, a previously unreported finding.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0003-2409
pubmed:author
pubmed:issnType
Print
pubmed:volume
56
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
616-22
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11437760-Aged, pubmed-meshheading:11437760-Ambulatory Surgical Procedures, pubmed-meshheading:11437760-Analgesia, Epidural, pubmed-meshheading:11437760-Analgesia, Patient-Controlled, pubmed-meshheading:11437760-Analgesics, Opioid, pubmed-meshheading:11437760-Anesthetics, Local, pubmed-meshheading:11437760-Dextromethorphan, pubmed-meshheading:11437760-Double-Blind Method, pubmed-meshheading:11437760-Drug Administration Schedule, pubmed-meshheading:11437760-Drug Therapy, Combination, pubmed-meshheading:11437760-Excitatory Amino Acid Antagonists, pubmed-meshheading:11437760-Follow-Up Studies, pubmed-meshheading:11437760-Heart Rate, pubmed-meshheading:11437760-Humans, pubmed-meshheading:11437760-Lidocaine, pubmed-meshheading:11437760-Middle Aged, pubmed-meshheading:11437760-Morphine, pubmed-meshheading:11437760-Pain, Postoperative, pubmed-meshheading:11437760-Respiration
pubmed:year
2001
pubmed:articleTitle
Combined pre-incisional oral dextromethorphan and epidural lidocaine for postoperative pain reduction and morphine sparing: a randomised double-blind study on day-surgery patients.
pubmed:affiliation
Department of Anaesthesiology and Critical Care Medicine, Post-Anaesthesia Care Unit, and Pain Clinic, Tel Aviv Sourasky Medical Centre, 6 Weizman Street, Tel Aviv 64239, Israel. graviw@tasmc.health.gov.il
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial