Surgery: Analgesia Surgery Analgesia
Conditions
Interventions
Intrathecal diamorphine vs intravenous morphine
Sponsors
Record Provided by the NHSTCT Register - 2007 Update - Department of Health
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All ASA 1,2 and 3 patients between the ages of 18 to 70 years undergoing lumbar spinal surgery via a posterior surgical approach will be invited to participate in the study.
Exclusion criteria
Exclusion criteria: 1. Any contraindications to spinal injection (localised skin sepsis at proposed site of injection, coagulopathy) 2. History of allergy to any of the drugs used in the study 3. Severe hepatic or renal disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The quality of postoperative analgesia. Patients pain scores will be measured in recovery and on days 1 and 2 postoperatively using a validated pain assessment tool (visual analogue scale 0-100mm). The assessor will be blinded to the patients treatment group. The amounts of morphine required to achieve adequate analgesia via a PCA system will be recorded in both groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures include the presence of nausea, vomiting, sedation and pruritis. | — |
Countries
United Kingdom
Outcome results
None listed