EFFICACY OF INTRATHECAL MORPHINE AND BUPIVACAINE AFTER LAPAROSCOPIC SURGERY FOR COLORECTAL CANCER
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Abstract
Background: There have been many studies in using intrathecal morphine in the clinical practice of abdominal surgery. Laparoscopic colorectal surgery also requires a variety of methods of pain relief, so using intrathecal morphine to reduce postoperative pain in this surgery is important in clinical practice. The results showed that the level of pain relief in the first 24 hours after surgery was good, with a few side effects. Objectives: To assess the effectiveness of analgesic and side effects of intrathecal morphine combined with bupivacaine after laparoscopic colorectal surgery. Materials and Methods: This was a cross-sectional study, including 87 patients undergoing laparoscopic colorectal cancer surgery under intrathecal morphine combined with bupivacaine and general anesthesia with intubation. The degree of analgesia was assessed based on VAS. The side effects were nausea and vomiting, respiratory depression, and pruritus, etc. Results: The analgesic effect at rest and slight movement was 97.7%, and 93.1% respectively with VAS ≤ 3. The side effects were nausea and vomiting 5.7%, respiratory depression 2.3%, and pruritus 1.1%. Conclusions: Intrathecal morphine 0.3mg showed a safe and possitive analgesis effect for laparoscopic colorectal cancer surgery.
Article Details
Keywords
intrathecal morphine, laparoscopic colorectal surgery
References
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