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Multimed

On-line version ISSN 1028-4818

Abstract

TARANCON SERRANO, Israel Antonio  and  FERRER FERNANDEZ, Angélica María. Post-operative analgesia with intrathecal morphine in proctologic surgery. Multimed [online]. 2019, vol.23, n.1, pp. 22-33. ISSN 1028-4818.

Introduction:

postoperative pain is the most frequent complaint of patients who have undergone surgery, it is not the "forced" result of an intervention, but of an insufficient analgesia; When this is assumed by anesthesiologists in a stable and structured way, the use of local anesthetics and analgesics is more rational and effective, not only because of greater knowledge of them, but also because the most effective administration routes are increased.

Objective:

to determine the benefits of the use of intrathecal morphine in surgical proctology patients.

Method:

an observational, descriptive, longitudinal, retrospective study was carried out in the period from January 1 to June 30, 2017. The sample consisted of 50 patients with anus rectal affections, to whom regional morphine anesthesia was applied. intrathecal We excluded patients with chronic painful pathologies, known hypersensitivity to the medication and / or local anesthetics and contraindications for spinal anesthesia. The data was processed by numbers and percents.

Results:

patients aged 31-40 years (46%), male sex, predominated in the study; (58%), the common adverse effects were pruritus, (20%), and nausea / vomiting; (8%).

Conclusions:

good analgesia was achieved with prolongation of up to 20 hours in the majority of patients with very low frequency of adverse effects.

Keywords : Analgesia; Morphine; Spinal Injections; Postoperative Pain; Postoperative Care; Colorectal Surgery.

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