Conclusions
Administration in acute pain The effectiveness of epidural and intratheca] narcotic analgesia is well proven. Despite its definite advantages over other methods, adverse effects presently limit its use and consequently it should be used in selected cases.75,92,93 Certain conditions should be met before the administration of epidural and intrathecal analgesia and its mode of administration should be based on our actual knowledge. The epidural approach appears to be the best with regard to cost-benefit ratio and unless contraindicated should be preferred to the intrathecal approach.70 Thus this is the approach that we propose (Table V). Obstetrical analgesia, although theoretically interesting93 has been ruled out during labour, for the time being. Beta-endorphin could eventually be used in obstetrics.94
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Martin, R., Lamarche, Y. & Tétrault, J.P. Epidural and intrathecal narcotics. Can Anaesth Soc J 30, 662–665 (1983). https://doi.org/10.1007/BF03015240
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DOI: https://doi.org/10.1007/BF03015240