Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100072 |
Resumo: | OBJECTIVE: To evaluate the pain level in patients treated with epidural infusion of morphine sulfate in a single dose, after a surgical procedure to perform lumber arthrodesis.METHODS: Forty patients underwent posterolateral lumbar arthrodesis or intersomatic lumbar arthrodesis via a posterior route at one, two or three levels. They were prospectively randomized into two groups of 20. In the first group (study group), 2 mg of morphine sulfate diluted in 10 mL of physiological serum was infiltrated into the epidural space, through the laminectomy area. The second group (controls) did not receive analgesia. The patients were asked about their pain levels before and after the operation, using a visual analog scale (VAS).RESULTS: It was found that the patients presented a significant diminution of pain as shown by the VAS. From before to after the operation, it decreased by an average of 4.7 points (p = 0.0001), which corresponded to 53.2% (p = 0.0001).CONCLUSION: Application of 2 mg of morphine sulfate in a single epidural dose was shown to be a good technique for pain therapy following lumbar spinal surgery. |
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Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfateMorphineEpidural analgesiaPostoperative painArthrodesisVertebral fusionOBJECTIVE: To evaluate the pain level in patients treated with epidural infusion of morphine sulfate in a single dose, after a surgical procedure to perform lumber arthrodesis.METHODS: Forty patients underwent posterolateral lumbar arthrodesis or intersomatic lumbar arthrodesis via a posterior route at one, two or three levels. They were prospectively randomized into two groups of 20. In the first group (study group), 2 mg of morphine sulfate diluted in 10 mL of physiological serum was infiltrated into the epidural space, through the laminectomy area. The second group (controls) did not receive analgesia. The patients were asked about their pain levels before and after the operation, using a visual analog scale (VAS).RESULTS: It was found that the patients presented a significant diminution of pain as shown by the VAS. From before to after the operation, it decreased by an average of 4.7 points (p = 0.0001), which corresponded to 53.2% (p = 0.0001).CONCLUSION: Application of 2 mg of morphine sulfate in a single epidural dose was shown to be a good technique for pain therapy following lumbar spinal surgery.Sociedade Brasileira de Ortopedia e Traumatologia2015-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100072Revista Brasileira de Ortopedia v.50 n.1 2015reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2015.02.005info:eu-repo/semantics/openAccessAmaral,Carlos Alexandre Botelho doVieira,TertulianoNakagawa,Edgar TairaLosch,Eduardo AiresLabronici,Pedro Joséeng2015-09-10T00:00:00Zoai:scielo:S0102-36162015000100072Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2015-09-10T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate |
title |
Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate |
spellingShingle |
Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate Amaral,Carlos Alexandre Botelho do Morphine Epidural analgesia Postoperative pain Arthrodesis Vertebral fusion |
title_short |
Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate |
title_full |
Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate |
title_fullStr |
Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate |
title_full_unstemmed |
Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate |
title_sort |
Immediate postoperative pain level from lumbar arthrodesis following epidural infiltration of morphine sulfate |
author |
Amaral,Carlos Alexandre Botelho do |
author_facet |
Amaral,Carlos Alexandre Botelho do Vieira,Tertuliano Nakagawa,Edgar Taira Losch,Eduardo Aires Labronici,Pedro José |
author_role |
author |
author2 |
Vieira,Tertuliano Nakagawa,Edgar Taira Losch,Eduardo Aires Labronici,Pedro José |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Amaral,Carlos Alexandre Botelho do Vieira,Tertuliano Nakagawa,Edgar Taira Losch,Eduardo Aires Labronici,Pedro José |
dc.subject.por.fl_str_mv |
Morphine Epidural analgesia Postoperative pain Arthrodesis Vertebral fusion |
topic |
Morphine Epidural analgesia Postoperative pain Arthrodesis Vertebral fusion |
description |
OBJECTIVE: To evaluate the pain level in patients treated with epidural infusion of morphine sulfate in a single dose, after a surgical procedure to perform lumber arthrodesis.METHODS: Forty patients underwent posterolateral lumbar arthrodesis or intersomatic lumbar arthrodesis via a posterior route at one, two or three levels. They were prospectively randomized into two groups of 20. In the first group (study group), 2 mg of morphine sulfate diluted in 10 mL of physiological serum was infiltrated into the epidural space, through the laminectomy area. The second group (controls) did not receive analgesia. The patients were asked about their pain levels before and after the operation, using a visual analog scale (VAS).RESULTS: It was found that the patients presented a significant diminution of pain as shown by the VAS. From before to after the operation, it decreased by an average of 4.7 points (p = 0.0001), which corresponded to 53.2% (p = 0.0001).CONCLUSION: Application of 2 mg of morphine sulfate in a single epidural dose was shown to be a good technique for pain therapy following lumbar spinal surgery. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100072 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100072 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2015.02.005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.50 n.1 2015 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122359597236224 |