Abstract
The authors prospectively evaluated 15 patients who had undergone selective dorsal rhizotomy who were given a continuous morphine/butorphanol infusion, to determine whether variations in the postoperative pain control and side effects seen using a bolus technique could be reduced. Patients had an epidural catheter placed at the end of the operative procedure through which 50–60 μg/kg preservative-free morphine and 15–20 μg/kg butorphanol was administered. A continuous epidural infusion of 5 μg/kg h morphine and 1.2 μg/kg h butorphanol was then initiated. Postoperatively, mean pain scores were excellent. No patient required additional systemic analgesics during the 72-h investigational period. A low incidence of nausea, and no vomiting, pruritus, or respiratory depression was reported by the cohort. All patients maintained oxygen saturations above 95%. This indicates that the use of a continuous epidural infusion provides excellent pain control, decreases the occurrence of untoward side effects, and allows the early initiation of occupational and physical therapy postoperatively.
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Lawhorn, C.D., Boop, F.A., Brown, R.E. et al. Continuous epidural morphine/butorphanol infusion following selective dorsal rhizotomy in children. Child's Nerv Syst 11, 621–624 (1995). https://doi.org/10.1007/BF00300716
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DOI: https://doi.org/10.1007/BF00300716