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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-01
Low Dose Intrathecal Morphine versus Multimodal Analgesia in Patients Undergoing Abdominal Surgeries under General Anaesthesia
Pankaj Kumar Mohanta, Zahidul Islam
Published: Jan. 22, 2020 | 106 92
DOI: 10.36347/sjams.2020.v08i01.031
Pages: 158-165
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Abstract
Introduction: Opium means juice, from Greek word. Morphine is named after Greek god of dreams, Morpheus Opioid refers to drugs derived from opium both natural and synthetics. Narcotic refers to morphine and like analgesics. Aim of the Study: To evaluate the effect of preservative free morphine 0.5mg administered intrathecally, on intraoperative anesthetic requirement and post operative analgesia in patients undergoing laparotomies under general anesthesia compared with multimodal analgesia during the 1st 24 hours of postoperative period. Materials And Methods: This study was conducted at Sheikh Sayera Khatun Medical College & Hospital, Gopalganj, Bangladesh during from Jun to December 2019, in the general surgical operation theater.50 patients of ASA physical status I,II and III undergoing both upper and lower abdominal surgeries under general anesthesia are categorized into one of two groups, Group M – Morphine study group and Group C–Control group. In both study and control Group routine General anesthesia was administered. In Group M, 0.5mg morphine given intrathecally before general anaesthesia. The parameters studied were intraoperative hemodynamics, post operative pain score and analgesic requirement, post-operative hemodynamics, intra operative and post-operative complications.