STUDY ON ADDITIVE EFFECT OF MORPHINE COMBINED WITH ROPIVACAINE FOR POST OP EPIDURAL ANALGESIA

DR. GANGA NAGALAKSHMI; Dr. BALAJI .J

Volume : VIII, Issue : II, February - 2018

STUDY ON ADDITIVE EFFECT OF MORPHINE COMBINED WITH ROPIVACAINE FOR POST OP EPIDURAL ANALGESIA

Dr. Ganga Nagalakshmi, Dr. Balaji . J

Abstract :

AIM: To assess the analgesic and side effects of the epidural ropivacaine combined with morphine compared to ropivacine alone METODS & MATERIALS : 60patients were selected and divided into two groups of 30each. Group R given with 0.2%Ropivacaine 12ml given Group m given with 0.2%Ropivacaine 12ml with 1mg morphine. primary– onset of analgesia (time of drug given to where the pain disapper) ,duration of analgesia ( from blockade to patient ask for first rescue analgesia),motorbockade(omage scale),side effects (hypotension,nausea,vomitting,pruritis) were observed in both groups. RESULTS: There was no statistical significant result on the onset of sensory blockade in GROUP R AND M .There was statistically significant result on the duration of blockade is more with GROUP M (p<0.001) then group R. There was no motor blockade as omage scale 0 in both M and R group ,side effects such as pruritis, nausea are noted with group M not with group R.CONCLUSION: The combination of epidural 0.2% ropivacaine with 1 mg morphine has superior analgesic effects than0.2% ropivacaine for postoperative pain relief after abdominal hystrectomy.