Document Detail

Epidural versus patient-controlled analgesia with morphine for postoperative pain after orthopaedic procedures in children.
MedLine Citation:
PMID:  8376571     Owner:  NLM     Status:  MEDLINE    
We compared epidural and patient-controlled analgesia using morphine for pain relief during the first 30 h after orthopaedic surgery to examine whether intermittent epidural morphine (EM) offered a clinical advantage over patient-controlled analgesia in children. Forty patients were assigned randomly to receive either EM or morphine by the patient-controlled analgesia technique. In the special care unit, trained observers evaluated the patient's level of postoperative pain with a standardized objective pain scale. The differences in pain scores among the groups were compared. The two groups were not significantly different in age, weight, duration of operation, or anesthesia. There was no significant difference in quality of pain relief except for the amount of medicine required to control postoperative pain and the incidence of side effects between the two groups.
M Goodarzi; N H Shier; J A Ogden
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  13     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    1993 Sep-Oct
Date Detail:
Created Date:  1993-10-21     Completed Date:  1993-10-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  663-7     Citation Subset:  IM    
Shriners Hospital for Crippled Children, Tampa, FL 33612.
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MeSH Terms
Analgesia, Epidural*
Analgesia, Patient-Controlled*
Bone Diseases / surgery*
Child, Preschool
Pain Measurement
Pain, Postoperative / drug therapy*
Comment In:
J Pediatr Orthop. 1994 Jul-Aug;14(4):550-1   [PMID:  8077444 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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