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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8465
|
pubmed:dateCreated |
1985-12-18
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pubmed:abstractText |
Eight patients undergoing abdominal surgery received epidural analgesia with 0.5% plain bupivacaine at a fixed dose rate (8 ml/h) for postoperative pain relief. Mean sensory level of analgesia (pin prick) was assessed hourly and regressed from a mean preoperative level of T3.7 (+/- 0.3 SEM) to T10 (+/- 0.7) at an average of 8.9 +/- 1.4 h post skin incision (range 4-16 h). Simultaneously, pain scores (4-point scale) increased from zero to 2.1 +/- 0.2. When analgesia regressed greater than or equal to 5 segments, administration of 10 mg morphine intravenously led to a pronounced cephalad increase in sensory analgesia; the initial level of analgesia was achieved in every case despite unchanged bupivacaine infusion. Simultaneously, pain score decreased to 0.3 +/- 0.3. This synergistic effect of systemic morphine on the extent of neural blockade with epidural bupivacaine may have an important role in improving postoperative pain relief.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
23
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pubmed:volume |
2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1156-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2865618-Adult,
pubmed-meshheading:2865618-Aged,
pubmed-meshheading:2865618-Analgesia,
pubmed-meshheading:2865618-Anesthesia, Epidural,
pubmed-meshheading:2865618-Bupivacaine,
pubmed-meshheading:2865618-Drug Synergism,
pubmed-meshheading:2865618-Female,
pubmed-meshheading:2865618-Humans,
pubmed-meshheading:2865618-Injections, Intravenous,
pubmed-meshheading:2865618-Male,
pubmed-meshheading:2865618-Middle Aged,
pubmed-meshheading:2865618-Morphine,
pubmed-meshheading:2865618-Pain, Postoperative
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pubmed:year |
1985
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pubmed:articleTitle |
Systemic morphine enhances spread of sensory analgesia during postoperative epidural bupivacaine infusion.
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pubmed:publicationType |
Journal Article
|