Skip Navigation

This Article
Right arrow Full Text (PDF)
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by SIMPSON, K. H.
Right arrow Articles by LYONS, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by SIMPSON, K. H.
Right arrow Articles by LYONS, G.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

British Journal of Anaesthesia, 1988, Vol. 60, No. 6 627-631
© 1988 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

COMPARISON OF EXTRADURAL BUPRENORPHINE AND EXTRADURAL MORPHINE AFTER CAESAREAN SECTION

K. H. SIMPSON, T. H. MADEJ, J. M. MCDOWELL, R. MACDONALD and G. LYONS

K. H. SIMPSON, F.F.A.R.C.S.; R. MACDONALD, PH.D., F.F.A.R.C.S.; G. LYONS, F.F.A.R.C.S.; University Department of Anaesthesia, St James's University Hospital, Leeds. T. H. MADEJ, F.F.A.R.C.S.; J. M. MCDOWELL, F.F.A.R.C.S.; General Infirmary, Leeds.

Fifty-seven women received extradural morphine 3 mg, buprenorphine 0.18 mg or buprenorphine 0.09 mg after elective Caesarean section carried out under extradural bupivacaine. Supplementary sublingual buprenorphine was available on demand. Ten-centimetre visual analogue pain scores were completed regularly; emesis, pruritis and urinary retention were recorded for 24 h. Patients who received buprenorphine 0.09 mg had more pain, and required more supplementary analgesia, than those who received morphine 3 mg. Pain scores and analgesic requirements after buprenorphine 0.18 mg were not significantly different from either of the other two groups. Emesis was not significantly different in the three groups. More itching occurred after morphine 3 mg and buprenorphine 0.18 mg than after buprenorphine 0.09 mg; pruritis of the face, legs and perineum was more common after morphine than buprenorphine. Twenty-eight percent of patients without a urinary catheter developed retention of urine. Seventy-five to 84% of patients were satisfied with analgesia during the first day after operation. Analgesia and adverse effects were similar when morphine 3 mg or buprenorphine 0.18 mg was given extradurally after Caesarean section.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.