Surgical procedures almost invariably cause in pain. The effect of inadequate pain relief is well known and it can result in delayed mobilization and related complications as well as psychological distress and anxiety. Inadequent postoperative pain relief most commonly occurs after emergency operations. Appendectomy is one of the most common emergency surgical procedures in children.
Postoperative pain can be assessed quantitatively by the daily requirements for analgesics. Nevertheless, the various kinds of analgesics and routes of administration make it difficult to estimate pain relief. We qualitatively assessed pain on the first postoperative day by means of a mCHEOPS. In this study, morphine was administered with caudal route to 48 patients of open appendectomy (Group LM). These consumed doses are different than recommended doses. In literature, there are reports of better analgesia and higher side effect incidence with these doses.
SerbÃ¼lent GÃ¶khan Beyaz, Comparison of Caudal Levobupivacaine versus Levobupivacaine plus Morphine Mixture for Postoperative Pain Management in Children
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Last date updated on June, 2014