Epidural Morphine: A new Approach to Postoperative Analgesia in Urological Surgery

  • H. J. Birkhan
  • B. Rosenberg
  • K. Simon
  • B. Moskowitz
Part of the Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine book series (A+I, volume 144)


In a group of fifty patients who received 2 mg of epidural morphine together with the anaesthetic agent or in the immediate postoperative period, 44 required no further narcotic drug in the first 48 hours. Six patients required one dose of 10 mg morphine intramuscularly 12–30 hours postoperatively. A random sample of fifty patients similarly anaesthetised showed the narcotic requirement averaging between 60 and 80 mg morphine.


Pain Relief Postoperative Analgesia Epidural Morphine Urologic Surgery Retropubic Prostatectomy 
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  1. 1.
    Behai M, Olshwang D, Magora F, Davidson JT (1979) Epidural morphine in treatment of pain. Lancet 1:527Google Scholar
  2. 2.
    Cousins MJ, Mathers LE, Wilson PR, Graham JR (1979) Selective spinal analgesia. Lancet 1:1141PubMedCrossRefGoogle Scholar
  3. 3.
    Husemeyer, RP, O’Connor MC, Davenport HT (1980) Failure of epidural morphine to relieve pain in labour. Anaesthesia 35:161PubMedCrossRefGoogle Scholar
  4. 4.
    Magora F, Olshwang D, Eimerl D, Shorr J, Katzenelson R, Cotev S, Davidson JT (1980) Observation on extradural morphine analgesia in varios pain conditions. Br J Anaesth 52:247PubMedCrossRefGoogle Scholar
  5. 5.
    Samii K, Feret J, Harari A, Viars P (1979) Selective spinal analgesia. Lancet 1:1142PubMedGoogle Scholar
  6. 6.
    Snyder SH (1977) Opiate receptors and internal opiates. Sci Amer 236:44PubMedCrossRefGoogle Scholar
  7. 7.
    Wang JK, Nauss LA, Thomas JE (1979) Pain relief by intrathecally applied morphine in man. Anaesthesiology 50:149CrossRefGoogle Scholar
  8. 8.
    Yaksh TL, Rudy TA (1976) Analgesia mediated by a direct spinal action of narcotics. Science 192:1357PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • H. J. Birkhan
  • B. Rosenberg
  • K. Simon
  • B. Moskowitz

There are no affiliations available

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