Volume 24, Issue 105, September - October, 2020

Postoperative analgesic effect of intraoperative loading dose of morphine in caesarean section

Iyad Abbas Salman¹, Hawazen Mohammed El-moraeb², Haider Abbass Hassen^3♦

¹Consultant Anaesthetist, Medical College, Univeristy of Baghdad, Iraq
²Anaesthetist, Department of Intensive Care, Ghazi Al-Hariri teaching Hospital, Medical City, Baghdad, Iraq
³Anaesthetist, Department of Intensive Care, Al-Imamain medical city, Baghdad, Iraq

^♦Corresponding author
Anaesthetist, Department of Intensive Care, Al-Imamain medical city ,Baghdad ,Iraq; Email: docan72@gmail.com

ABSTRACT

Objective: evaluate the effect of intraoperative morphine intravenous (IV) in addition to tramadol and NSAIDs on post-operative analgesia in cesarean sections. Methods: This is a prospective comparative study done at Baghdad teaching hospital & nursing house at medical city complex from January 2017 to January 2018, including 100 patients scheduled for elective cesarean section. Patients are divided into two groups, one group receives morphine intraoperatively, and the other group is control group. Postoperative pain was assessed at specific time interval using numerical analogue scale. Results: Effect of morphine on pain score at awakening and after 15 minutes show significant difference otherwise no significant difference in the later 16 hours. Time of recovery is significantly increased in morphine group. Conclusions: Intraoperative morphine administrated after baby delivery in cesarean section decrease pain significantly at 0, 15 minutes postoperatively but did not affect pain score in the later 16 hours.

Keywords: Intraoperative morphine, postoperative analgesia, morphine in caesarian section, Preemptive analgesia

Medical Science, 2020, 24(105), 3773-3778

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