Subarachnoidal application of morphine as a method of postoperative analgesia for Cesarian section

Overview

The authors present their experience with subarachnoideal anesthesia with 0,5% hyperbaric bupivacaine with morphine supplement, comparing itwith general anesthesia and subarachnoideal anesthesia with hyperbaric bupivacaine only. This method resulted in excellent postoperative analgesiawith statistically proven decreased need for analgesics in the postoperative period. The adverse effects are not severe and are not more frequentcompared to other types of anesthesia. According to financial aspects, the expenditures associated with this type of anesthesia do not raise aboveexpenditures on general anesthesia. Preservative-free morphine only can be used, and close postoperative observation and monitoring should beavailable.

Key words:
hyperbaric bupivacaine – preservative-free morphine – postoperative monitoring