Lung Diseases, Solitary Mass
Conditions
Keywords
thoracotomy, postoperative pain, spinal morphine
Brief summary
The purpose of the study is to evaluate the amount of total pethidine requirement during the 48 hour postoperative period after receiving spinal morphine 0.2 and 0.3 mg.
Detailed description
Thoracotomy causes severe pain to the patients. Continuous thoracic epidural is a gold standard for postoperative pain. However, it needs skill. There are many alternatives such as spinal morphine, intercostal nerve block, cryoalangesia or interpleural block.
Interventions
spinal morphine 0.3 mg
spinal morphine 0.2 mg
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 year and \< 70 year * Patient ASA physical status I-III. * Scheduled for thoracotomy with lobectomy. * Can operate a patient-controlled analgesia (PCA) device.
Exclusion criteria
* Known hypersensitivity to morphine or pethidine * History of bleeding tendency. * Known case of infection at the back * Patient refuse for spinal anesthesia * History of cerebrovascular disease. * Scheduled for video-assisted thoracoscopic lobectomy. * Need mechanical ventilatory support during postoperative period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pethidine requirement | 48 hours | Total pethidine requirement during 48 hours postoperative |
Countries
Thailand