Treatment of postoperative pain with thoracic epidural morphine in oral malignant tumor patients

Thoracic epidural morphine was administered to five patients who underwent radical resection and reconstructive surgery for oral malignant tumors. In case 1, an epidural catheter was inserted at the T3-T4 interspace, and 4 mg morphine was administered through the catheter approximately 5 h before th...

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Bibliographic Details
Published inThe Clinical journal of pain Vol. 12; no. 2; p. 142
Main Authors Sakuramoto, C, Kanai, I, Matoba, M, Asato, F, Goto, F
Format Journal Article
LanguageEnglish
Published United States 01.06.1996
Subjects
Adult
Aged
Analgesia, Epidural
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - therapeutic use
Female
Humans
Injections, Epidural
Male
Middle Aged
Morphine - administration & dosage
Morphine - therapeutic use
Mouth Neoplasms - surgery
Pain, Postoperative - drug therapy
Tongue Neoplasms - surgery
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Summary:Thoracic epidural morphine was administered to five patients who underwent radical resection and reconstructive surgery for oral malignant tumors. In case 1, an epidural catheter was inserted at the T3-T4 interspace, and 4 mg morphine was administered through the catheter approximately 5 h before the end of surgery. Forty-five minutes after the end of surgery, a total of 10 mg morphine was continuously infused over a 2-day period using a balloon infusion system. The patient did not complain of pain, and no other analgesics were necessary. There were no serious side effects throughout the treatment of postoperative pain. Good control of pain was obtained by this method in four similar cases. Thoracic epidural morphine was effective in the relief of postoperative pain following oral surgery in five cases.
ISSN:0749-8047
DOI:10.1097/00002508-199606000-00010