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Peridural Bupivacaine and Morphine for Residual Pain After Peripheral Vascular Surgery

  • R. Manolescu
  • I. Elian
  • J. M. Lehmann
Part of the Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine book series (A+I, volume 144)

Summary

Patients displaying persistent leg pain for more than 10 days after objectively successful leg revascularisation surgery were divided into three groups receiving epidural injections of: 1. bupivacaine (10 ml/0.5%; n = 15), 2. morphine sulphate (2 mg/10 ml; n = 15) and 3. morphine sulphate (2 mg) + bupivacaine (10 ml/0.25%; n = 17). Group 1 showed good analgesia and a significant incidence of hypotension (-20-40 mmHg; n = 6), skeletal muscle hypotonia (n = 7), bradycardia (n = 3) and urinary retention (n = 4). Group 2 showed a poorer analgesic response and no significant effect on other measures. Group 3 patients showed an analgesia comparable to that of group 1, with no effect on cardiovascular measures, but produced urinary retention (n = 3).

Keywords

Urinary Retention Epidural Injection Peripheral Occlusive Arterial Disease Morphine Sulphate Good Analgesia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    Korthals JK (1975) Peripheral Nerve Ischemia. Journal of the Neurological Sciences 24:65PubMedCrossRefGoogle Scholar
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    Asbury AK (1970) “Ischemic disorders of Peripheral Nerve”. Handbook of Clinical Neurology, pp 154–164Google Scholar
  3. 3.
    Arcangeli P (1976) “Mechanisms of ischemic pain in peripheral occlusive arterial disease”. Bonica JJ (ed) Advances in Pain Research and Therapy, Raven Press, New York pp 965–973Google Scholar
  4. 4.
    Melzack R (1971) “Pantom Limb Pain”. Anesthesiology 35:409PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • R. Manolescu
  • I. Elian
  • J. M. Lehmann

There are no affiliations available

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