Use of epidural morphine for control of postoperative pain in selective dorsal rhizotomy for spasticity

Pediatric Neuroscience
M L SparkesJ P Mickle

Abstract

Postoperative pain control can be a major problem after selective dorsal rhizotomy for the treatment of spasticity. We report the use of epidural morphine delivered via a catheter placed at surgery for postoperative analgesia in 28 consecutive patients undergoing this procedure. Pain was well controlled using this technique, and no patients required concomitant parenteral analgesia. There were no instances of respiratory depression, wound infection, or central nervous system depression, and the patients were easily mobilized in the early postoperative period. Epidural morphine is concluded to be a safe and very efficacious method of analgesia after selective dorsal rhizotomy.

Citations

Jun 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J M GeiduschekT S Roberts
Mar 3, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·B R BrennJ B Rose
Mar 1, 1996·Journal of Pain and Symptom Management·T E DewsL Paranandi
Dec 14, 1999·Anaesthesia·J NolanT C Brown
Mar 26, 2004·Anesthesia and Analgesia·Joseph D Tobias
Nov 1, 2018·Developmental Medicine and Child Neurology·Katarina OstojicAngela M Morrow
Mar 6, 2007·Pediatric Neurosurgery·K HesselgardB Romner
Nov 1, 1995·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·C D LawhornR Shirey
Jan 17, 2019·The Cochrane Database of Systematic Reviews·Joanne GuayRebecca L Johnson
Sep 8, 2020·Pediatric Neurosurgery·Jeffrey HatefJeffrey R Leonard
Mar 13, 2021·Journal of Neurosurgery. Pediatrics·Madeline B KarstenScellig S D Stone

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