Efficacy and safety of epidural morphic chloride in laparoscopic abdominal surgery. Observational study.
DOI:
https://doi.org/10.30445/rear.v15i8.1147Keywords:
analgesia, epidural , chloride, morphine , laparoscopic surgical procedure , anesthesia, epiduralAbstract
The use of epidural neuraxial morphine for abdominal surgery is widely described in the medical literature. Its use has sometimes been limited by the possible appearance of adverse effects, emphasizing among them, respiratory depression. In abdominal laparoscopic surgery and specifically in enhanced recovery programs (P.R.I.) its use is limited by the possible appearance of side effects that can basically lengthen the length of stay (L.O.S.), from the acronym in English . Its use is limited to the results obtained and the consensus reached with the different members of the P.R.I. internally, of the institution. That is why, in order to know and evaluate the results obtained, we carried out an internal audit (self audit), retrospectively collecting the different variables of interest in the use of epidural morphine in laparoscopic major abdominal surgery, in the periods between 14-1-2016 and 11-10-2020 and in transperitoneal laparoscopic nephrectomy surgeries between 11-9-2015 and 06-30-2017. We want to share and publicize the results of this study, focused on analgesic efficacy and clinical safetyReferences
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