subject:(epidural morphine)

1. Douglas dos Santos e Castro. Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus).

Degree: 2008, Universidade Federal Rural do Rio de Janeiro

URL: http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545

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O objetivo do presente estudo foi comparar a eficácia e duração analgésica do tramadol às da morfina, administrados por via epidural em gatos (Felis catus… (more)

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O objetivo do presente estudo foi comparar a eficácia e duração analgésica do tramadol às da morfina, administrados por via epidural em gatos (Felis catus domesticus). Para tanto, utilizaram-se seis fêmeas da espécie felina, sem raça definida, com peso entre três a quatro quilos e idade variando de um a três anos. Após o jejum alimentar, de 12 horas e hídrico, de quatro horas, os animais foram submetidos à anestesia geral com isoflurano por meio de uma câmara anestésica, com a finalidade de realizar a técnica epidural, evitando o estresse. Cada animal recebeu de forma aleatória, em um estudo cego, três tratamentos por via epidural com intervalos de uma semana entre estes, com: solução salina a 0,9% num volume equivalente a 0,22ml.kg-1 (Grupo Controle), tramadol 1mg.kg-1 diluído em solução salina e volume equivalente a 0,22ml.kg-1 (Grupo Tramadol) e morfina 0,1mg.kg-1 diluído em solução salina e volume equivalente a 0,22ml.kg-1 (Grupo Morfina). Uma hora após a administração de cada fármaco e o completo retorno da anestesia geral, os animais foram submetidos a estímulos dolorosos em três locais pré-definidos: base da cauda, face lateral da coxa direita e esquerda, dando continuidade, 2, 3, 4, 6, 8, 10 e 12 horas respectivamente. A dor foi qualificada pela implementação de duas Escalas Simples Descritivas (SDS), uma Escala Analógica Visual (VAS), mensuração da freqüência cardíaca e respiratória. Para as variáveis qualitativas utilizou-se o delineamento em Quadrado Latino 3 x 3 com o teste de Kruskal-Wallis e para as quantitativas a Análise de Variâncias (ANOVA). Não houve diferença em relação ao tempo de anestesia e freqüência respiratória, entretanto, houve diferença estatística significante (p<0,05) na freqüência cardíaca nas horas dois e quatro entre os animais do grupo controle e do tramadol. Em todas as escalas utilizadas houve diferença significante (p<0,05) nas horas 8, 10 e 12, sendo que a morfina apresentou qualidade analgésica superior ao do tramadol nesses momentos. Com base nos resultados obtidos, pode-se concluir que o tramadol administrado por via epidural resultou analgesia satisfatória, isenta de efeitos adversos, porém inferior à analgesia da morfina, administrada pela mesma via.

The purpose of this study was to compare the effectiveness and duration of the analgesic tramadol to the morphine, administered by the epidural route in cats (Felis catus domesticus) For this, six females cats were used, without defined breed, weighing between three and four kilograms and age ranging from one to three years. After fasting food, in 12 hours and water, four hours, the animals were subjected to general anesthesia with isoflurane through an anesthetic box, in order to allow the completion of the epidural technique. Each animal received at random, in a blind study, three epidural route treatments at intervals of one week between them, with: saline solution to 0.9% in a volume equivalent to 0.22ml.kg-1 (Control Group), tramadol 1 mg.kg-1 diluted in saline solution and volume equivalent to 0.22 ml.kg-1 (Tramadol…

Advisors/Committee Members: Marta Fernanda Albuquerque da Silva, Paulo Oldemar Scherer.

Subjects/Keywords: tramadol; morfina; gatos; analgesia epidural; MEDICINA VETERINARIA; morphine; cats; epidural analgesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Castro, D. d. S. e. (2008). Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus). (Thesis). Universidade Federal Rural do Rio de Janeiro. Retrieved from http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Castro, Douglas dos Santos e. “Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus).” 2008. Thesis, Universidade Federal Rural do Rio de Janeiro. Accessed January 18, 2021. http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Castro, Douglas dos Santos e. “Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus).” 2008. Web. 18 Jan 2021.

Vancouver:

Castro DdSe. Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus). [Internet] [Thesis]. Universidade Federal Rural do Rio de Janeiro; 2008. [cited 2021 Jan 18]. Available from: http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Castro DdSe. Comparison between the analgesic effect of the epidural morphine and tramadol in cats (Felis catus domesticus). [Thesis]. Universidade Federal Rural do Rio de Janeiro; 2008. Available from: http://bdtd.ufrrj.br//tde_busca/arquivo.php?codArquivo=545

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

2. Cótes, Lourenço Candido. Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães.

Degree: Mestrado, Clínica Cirúrgica Veterinária, 2011, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;

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Os opióides de curta duração e de alta potencia analgésica, como o fentanil, embora amplamente utilizados em cães, ainda são pouco empregados pela via epidural… (more)

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Os opióides de curta duração e de alta potencia analgésica, como o fentanil, embora amplamente utilizados em cães, ainda são pouco empregados pela via epidural nesta espécie. O presente estudo teve como objetivo avaliar a associação do anestésico local lidocaína à morfina ou à combinação morfina-fentanil, pela via epidural. Foram analisados os efeitos cardiovasculares, respiratórios bem como a analgesia pós-operatória, em cães submetidos a cirurgia de joelho. Para tanto, 24 animais da espécie canina foram aleatoriamente divididos em 2 grupos. Todos os animais receberam acepromazina (0,05 mg/kg), foram induzidos com propofol (5 mg/kg) e mantidos em anestesia inalatória. Os animais do GRUPO I foram tratados com lidocaína (5mg/kg) associada a morfina (0,1mg/kg) e os animais do GRUPO II receberam, pela via epidural, a combinação lidocaína-morfina-fentanil, sendo este último na dose de 2µ/kg. Parâmetros como frequência cardíaca, respiratória, pressão arterial (sistólica, média e diastólica) foram mensurados, bem como pH e gases sanguíneos. Para a avaliação da analgesia foram utilizadas a escala Analógica-visual (EAV), a escala proposta por Lascelles, 1994 e a termoalgimetria. Amostras de sangue foram coletadas para posterior dosagem de cortisol e Interleucina-06. O período de avaliação imediata foi de 06 horas após a cirurgia, sendo os animais reavaliados no período de 24 horas após o procedimento. No tocante aos parâmetros cardiorrespiratórios os grupos se comportaram de maneira muito semelhante. Entretanto, pode-se observar que os animais tratados com a combinação lidocaína-fentanil-morfina apresentaram menor escore de dor quando avaliados pelas escalas do estudo no período pós-operatório. De fato verificou-se diferença significativa nos escores da EAV (p <0,05) nos tempos T180 e T360; na escala de Lascelles obteve-se diferença estatística nos tempos T180, T360 e T24h e na termoalgimetria houve diferença estatística nos tempos T180, T360 e T24h. A analgesia de resgate foi necessária em 3 animais do Grupo II, enquanto no Grupo I a necessidade desta medicação foi observada em 6 animais. Pode-se concluir, com os resultados obtidos, que a associação do fentanil no protocolo de anestesia epidural, promoveu adequada analgesia perioperatória, além de produzir um efeito sinérgico-residual, o que melhorou a analgesia pós-operatória, diminuindo a necessidade de analgesia de resgate.

Short duration opioids and high potency analgesics such as fentanyl, although widely used in dogs are seldom used for epidural anesthesia in this species. This study aimed to evaluate the association of lidocaine with morphine or morphine-fentanyl combination, epidurally. 24 dogs were randomly divided into two groups. All animals received acepromazine intramuscularlly (0.05 mg / kg), were induced with propofol (5 mg / kg) and maintained under inhalation anesthesia. The animals in group I were treated with lidocaine (5 mg / kg) combined with morphine (0.1 mg / kg) epidurally and the animals of group II received epidurally, the combination…

Advisors/Committee Members: Fantoni, Denise Tabacchi.

Subjects/Keywords: Cães; Dogs; Epidural; Epidural; Fentanil; Fentanyl; Lidocaína; lidocaine; Morfina; Morphine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Cótes, L. C. (2011). Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães. (Masters Thesis). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;

Chicago Manual of Style (16^th Edition):

Cótes, Lourenço Candido. “Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães.” 2011. Masters Thesis, University of São Paulo. Accessed January 18, 2021. http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;.

MLA Handbook (7^th Edition):

Cótes, Lourenço Candido. “Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães.” 2011. Web. 18 Jan 2021.

Vancouver:

Cótes LC. Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães. [Internet] [Masters thesis]. University of São Paulo; 2011. [cited 2021 Jan 18]. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;.

Council of Science Editors:

Cótes LC. Avaliação do emprego epidural de morfina ou morfina-fentanil, associados à lidocaína, em cães. [Masters Thesis]. University of São Paulo; 2011. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-09102012-105723/ ;

Universidade Federal de Santa Maria

3. Gabrielle Coelho Freitas. ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO.

Degree: 2009, Universidade Federal de Santa Maria

URL: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492

► O controle da dor da sinovite é importante na diminuição das respostas ao estresse, do sofrimento e da ocorrência de laminite no membro contralateral. O… (more)

▼ O controle da dor da sinovite é importante na diminuição das respostas ao estresse, do sofrimento e da ocorrência de laminite no membro contralateral. O uso de opióides pela via epidural destaca-se pela qualidade analgésica, redução da dose dos fármacos empregados e redução de efeitos colaterais e prolongado período de ação. O estudo objetivou avaliar os efeitos fisiológicos e analgésicos da administração epidural de 0,1 mg/kg de morfina ou 5 μg/kg de buprenorfina em pôneis submetidos à sinovite induzida com lipopolissacarídeo (LPS) de E. coli na articulação radiocarpiana. Foram utilizados 6 pôneis hígidos, divididos em 3 grupos autocontrole e dispostos em um Quadrado Latino. O controle (GC) recebeu 0,15 mL/kg de solução de NaCl 0,9%, o grupo morfina (GM) recebeu 0,1 mg/kg de morfina e o grupo buprenorfina (GB) 5 μg/kg de buprenorfina, ambos pela via epidural e diluídos em solução de NaCl 0,9%, padronizando-se um volume final de 0,15 mL/kg e tempo de administração de 10 segundos/mL. Após avaliação dos parâmetros fisiológicos basais, os animais foram sedados e submetidos ao modelo de indução da sinovite, administrando-se 0,5 ng de LPS na articulação radiocarpiana. Ato contínuo foi introduzido um cateter epidural no referido espaço, até a região tóraco-lombar. 6 horas após a administração do LPS, os animais foram submetidos a um novo exame clínico geral e específico (tempo 0) e administrados um dos tratamentos. Os exames clínicos geral (FC, f, PAS, TPC, coloração das mucosas, TC e motilidade intestinal) e específico (dor à palpação, ângulo de flexão máxima do carpo, dor à flexão máxima, grau de movimentação da articulação, comprimento do passo e grau de claudicação) foram realizados aos 30 minutos e 1, 2, 4, 6, 8, 10, 12, 16, 20 e 24 horas após a administração epidural, por um observador cego aos tratamentos. Para as variáveis paramétricas utilizou-se análise de variância para amostras pareadas, com posterior teste de Dunnett. Para comparações entre os grupos, realizou-se análise de variância, seguido de teste de Tukey. Para as variáveis não-paramétricas utilizou-se o teste de Wilcoxon para amostras pareadas. As diferenças foram consideradas significantes quando P<0,05. O modelo de indução da sinovite produziu alterações no grau de claudicação, dor à palpação e ângulo de flexão, mantendo presentes dor à flexão máxima e reduzido grau de movimentação da articulação, mas não causou alterações nos parâmetros fisiológicos. O GC apresentou diferença na análise da claudicação em relação aos parâmetros basais até 12 horas. GM e GB apresentaram redução de claudicação entre 30 minutos e 12 horas, e 6 e 12 horas, respectivamente. Dentre os parâmetros fisiológicos, observaram-se alterações na motilidade intestinal, ocorrendo hipomotilidade aos 30 minutos no GM e entre 30 minutos e 1 hora no GB; e na temperatura corporal, que se manteve elevada até 10 horas em GM e GB. O modelo de indução da sinovite foi eficiente por 12 horas. A morfina proporcionou analgesia entre 30 minutos e 12 horas após a sua administração, enquanto… Advisors/Committee Members: Adriano Bonfim Carregaro, Flavio Desessards De La Corte, Nilson Oleskovicz.

Subjects/Keywords: buprenorfina; morfina; analgesia epidural; artrite; pôneis; epidural analgesia; morphine; buprenorphine; ponies; arthritis; MEDICINA VETERINARIA

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Freitas, G. C. (2009). ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO. (Thesis). Universidade Federal de Santa Maria. Retrieved from http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Freitas, Gabrielle Coelho. “ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO.” 2009. Thesis, Universidade Federal de Santa Maria. Accessed January 18, 2021. http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Freitas, Gabrielle Coelho. “ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO.” 2009. Web. 18 Jan 2021.

Vancouver:

Freitas GC. ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO. [Internet] [Thesis]. Universidade Federal de Santa Maria; 2009. [cited 2021 Jan 18]. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Freitas GC. ANALGESIA EPIDURAL COM MORFINA OU BUPRENORFINA EM PÔNEIS SUBMETIDOS À SINOVITE CARPAL COM LIPOPOLISSACARÍDEO. [Thesis]. Universidade Federal de Santa Maria; 2009. Available from: http://coralx.ufsm.br/tede/tde_busca/arquivo.php?codArquivo=2492

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

4. Marucio, Rodrigo Luiz. Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos.

Degree: PhD, Clínica Cirúrgica Veterinária, 2012, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;

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Agonistas colinérgicos (neostigmina), administrados por via espinhal, potencializam a analgesia dos opióides por aumentar a concentração de acetilcolina no líquido cérebro-espinhal. O objetivo deste trabalho… (more)

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Agonistas colinérgicos (neostigmina), administrados por via espinhal, potencializam a analgesia dos opióides por aumentar a concentração de acetilcolina no líquido cérebro-espinhal. O objetivo deste trabalho foi verificar a duração e a eficácia analgésica, assim como a ocorrência de efeitos adversos, da neostigmina e morfina, isoladas ou associadas, administradas por via peridural em cães submetidos à cirurgia ortopédica nos membros pélvicos. Foram utilizados 30 cães de diferentes raças, machos ou fêmeas, de comportamento dócil submetidos à cirurgia ortopédica. Os cães foram prémedicados com meperidina (4 mg/kg IM); após 30 minutos, indução anestésica com propofol (5 mg/kg) e manutenção da anestesia com isofluorano. Após estabilização da anestesia, um cateter peridural era introduzido e a anestesia peridural foi realizada com lidocaína 2% (5 mg/kg). No final da cirurgia, os animais eram distribuídos aleatoriamente em 3 grupos de 10 e recebiam tratamento analgésico pelo cateter peridural como segue: grupo MOR, 0,1 mg/kg de morfina; grupo NEO, 5 µg/kg de neostigmina; e grupo MOR+NEO, associação de 0,1 mg/kg de morfina e 5 µg/kg de neostigmina. Soluções ajustadas com solução NaCl 0,9% até um volume total de 0,4 ml/kg, sendo o estudo caracterizado como prospectivo, clínico, tipo cego. Variáveis paramétricas mensuradas: frequência cardíaca (FC), frequência respiratória (f), temperatura retal (T°C) e as pressões arteriais sistólica, média e diastólica (PAS, PAM e PAD). Analgesia pós-operatória verificada por meio da escala analógica visual (EAV) e escala numérica descritiva (END). Tempos de avaliação: 1, 2, 3, 4, 6, 8, 12, 16 e 24 horas após o final da cirurgia. Caso o animal recebesse nota maior ou igual a quatro para EAV ou END, era realizado resgate analgésico com morfina 0,2 mg/kg (IV), morfina 0,1 mg/kg (peridural) mais meloxican 0,2 mg/kg (IV). Não houve diferenças significativas entre os grupos quanto aos valores demográficos e às variáveis paramétricas. Realizou-se resgate analgésico em 7 animais do grupo NEO, 4 do grupo MOR e 2 do grupo MOR+NEO. O grupo MOR+NEO apresentou menores valores nos escores de dor (EAV) no tempo 1 h em relação ao grupo NEO e no tempo 4 h em relação ao grupo MOR. Quanto aos efeitos adversos, não houve diferenças entre os grupos. A neostigmina como agente isolado não foi eficaz para o tratamento da dor pósoperatória, e a associação de morfina e neostigmina apresentou benefícios sem aumentar a incidência dos efeitos adversos comumente observados quando comparado ao uso isolado da morfina.

The epidural administration of cholinesterase inhibitor drug (nesotigmine) improves morphine analgesia for increased acetylcholine concentration in the cerebrospinal fluid. The aim of this study was to evaluate the possible analgesic effects of neostigmine and the possible potentiation of morphine analgesia in dogs undergoing orthopaedic pelvic limb surgery. Thirty healthy dogs, males or females, from several breeds were selected. They were sedated with meperidine (4 mg/kg IM). 30 minutes…

Advisors/Committee Members: Fantoni, Denise Tabacchi.

Subjects/Keywords: Analgesia peridural; Cães; Dog; Epidural Analgesia; Morfina; Morphine; Neostigmina; Neostigmine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Marucio, R. L. (2012). Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;

Chicago Manual of Style (16^th Edition):

Marucio, Rodrigo Luiz. “Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos.” 2012. Doctoral Dissertation, University of São Paulo. Accessed January 18, 2021. http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;.

MLA Handbook (7^th Edition):

Marucio, Rodrigo Luiz. “Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos.” 2012. Web. 18 Jan 2021.

Vancouver:

Marucio RL. Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos. [Internet] [Doctoral dissertation]. University of São Paulo; 2012. [cited 2021 Jan 18]. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;.

Council of Science Editors:

Marucio RL. Efeitos analgésicos da neostigmina e morfina, isoladas ou associadas, pela via peridural em cães submetidos a cirurgia ortopédica nos membros pélvicos. [Doctoral Dissertation]. University of São Paulo; 2012. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-05082013-154041/ ;

5. Zotou, Anastasia. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).

Degree: 2014, University of Patras; Πανεπιστήμιο Πατρών

URL: http://hdl.handle.net/10442/hedi/39160

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Comparison of techniques for postoperative analgesia management after a weight loss surgery (Βiliary Pancreatic Diversion with Roux-En-Y) by administration of epidural analgesia with local anesthetic… (more)

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Comparison of techniques for postoperative analgesia management after a weight loss surgery (Βiliary Pancreatic Diversion with Roux-En-Y) by administration of epidural analgesia with local anesthetic (levobupivacaine) and opioid (morphine) Background: Postoperative pain control in morbidly obese patients should aim early mobilization and return of bowel function, without respiratory compromise, as there is a high prevalence of obstructive sleep apnoea (OSA). Up to date, not sufficient data exist regarding postoperative analgesic management of morbid super-obese (MSO) patients undergoing open bariatric surgery, especially with thoracic epidural levobupivacaine combined with morphine. Methods: In a prospective double blind randomised controlled trial, 96 ASA II-III MSO patients undergoing open BPD-RYGBP, were randomly allocated to six groups (n=16). All groups received postoperatively a continuous epidural morphine infusion of 0.2 mg h-1, while groups A - C received additionally 0.1% levobupivacaine and groups D - F 0.2% levobupivacaine via PCEA, respectively. Groups A and D did not receive intraoperative epidural morphine loading, while groups B, E received additionally 1mg and groups C and F 2 mg morphine bolus intra-operatively respectively. VAS at rest and on cough, PCEA drug consumption, haemodynamic profile, pulmonary function, time to return of bowel function and ambulation, were recorded for 48h. Results: Pain scores did not differ among groups. Doubling the concentration of levobupivacaine increased considerably its consumption (P < 0.001), without improving analgesia. The increase in perioperative morphine (groups B,C,E,F) and levobupivacaine doses (groups D-F) led to prolonged time to bowel function (P < 0.05 to 0.01) and ambulation (P < 0.05 to 0.01), respectively. Although obstructive sleep apnoea (OSA) prevalence was 69% to 81% among groups, no incidence of respiratory depression was observed. Haemodynamic profile and pulmonary function were well preserved and did not differ among groups. Conclusions: Thoracic PCEA with 0.1% levobupivacaine combined with a continuous daily epidural morphine dose of 0.2 mg h-1, without morphine loading, is an effective approach regarding adequate pain control, early mobilization and return of bowel function in MSO patients, especially in those with OSA.

Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).Εισαγωγή – Σκοπός :Η αντιμετώπιση του μετεγχειρητικού πόνου σε ασθενείς με νοσογόνο παχυσαρκία που υποβάλλονται σε χειρουργεία απώλειας βάρους θα πρέπει να στοχεύει στον αποτελεσματικό έλεγχο του μετεγχειρητικού πόνου, στην πρώιμη επαναλειτουργία του εντέρου και στην ταχύτερη κινητοποίηση των ασθενών, χωρίς να διακινδυνεύεται η μετεγχειρητική αναπνευστική λειτουργία, καθώς είναι υψηλό το ποσοστό των παχύσαρκων ασθενών με Αποφρακτική Άπνοια στον Ύπνο (OSA). Μέχρι σήμερα δεν…

Subjects/Keywords: Επισκληρίδιος αναλγησία; Παχυσαρκία; Βαριατρική χειρουργική; Μορφίνη; Λεβοβουπιβακαΐνη; Epidural analgesia; Οbesity; Bariatric surgery; Levobupivacaine; Morphine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Zotou, A. (2014). Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). (Thesis). University of Patras; Πανεπιστήμιο Πατρών. Retrieved from http://hdl.handle.net/10442/hedi/39160

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Zotou, Anastasia. “Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).” 2014. Thesis, University of Patras; Πανεπιστήμιο Πατρών. Accessed January 18, 2021. http://hdl.handle.net/10442/hedi/39160.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Zotou, Anastasia. “Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).” 2014. Web. 18 Jan 2021.

Vancouver:

Zotou A. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). [Internet] [Thesis]. University of Patras; Πανεπιστήμιο Πατρών; 2014. [cited 2021 Jan 18]. Available from: http://hdl.handle.net/10442/hedi/39160.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Zotou A. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). [Thesis]. University of Patras; Πανεπιστήμιο Πατρών; 2014. Available from: http://hdl.handle.net/10442/hedi/39160

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

6. Mastrocinque, Sandra. Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia.

Degree: PhD, Clínica Cirúrgica Veterinária, 2005, University of São Paulo

URL: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;

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O objetivo deste estudo foi o de comparar o emprego do tramadol, por via epidural ou sistêmica, com a morfina por via epidural, para controle… (more)

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O objetivo deste estudo foi o de comparar o emprego do tramadol, por via epidural ou sistêmica, com a morfina por via epidural, para controle da dor pós-operatória em cadelas submetidas à ovariohisterectomia, assim como determinar a ação dos agentes sobre o sistema cardiorespiratório e ocorrência de efeitos adversos. Para tanto, foram utilizadas 40 cadelas, distribuídas, aleatoriamente, em 4 grupos de 10 animais cada. O grupo 1 recebeu 2 /kg de tramadol por via epidural, o grupo 2 recebeu 2 mg/kg de tramadol por via intramuscular, o grupo 3 foi tratado com 0,1 mg/kg de morfina por via epidural e o grupo 4, determinado como controle, recebeu solução salina. Os fármacos foram administrados 30 minutos antes da indução anestésica, sendo o estudo caracterizado como prospectivo, clínico, tipo cego. Os animais foram pré-medicados com acepromazina, a indução anestésica realizada com propofol e o isofluorano foi empregado para manutenção da anestesia. As variáveis mensuradas foram: analgesia, sedação, freqüências cardíaca e respiratória, pressão arterial, concentração de isofluorano e dióxido de carbono no ar expirado, saturação periférica da oxihemoglobina, pH e gases sangüíneos, cortisol sérico e catecolaminas plasmáticas. Os animais foram avaliados por período de 24 horas após administração do fármaco analgésico. Os resultados foram submetidos à análise de variância, onde valores de P<0,05 foram considerados significantes. Não houve diferença entre os tratamentos com relação aos parâmetros de oxigenação, ventilação e cardiovasculares com exceção da pressão diastólica, que no grupo tratado com morfina apresentou menor valor que os demais grupos 6 horas após a administração dos analgésicos. Este grupo apresentou ainda menores escores de dor em vários momentos de avaliação, além de diminuir o requerimento de isofluorano em relação aos demais grupos aos 10 minutos de anestesia e aos 30 minutos, em comparação com o grupo controle, e menor valor de cortisol sérico 2 horas após a administração do fármaco analgésico em comparação ao grupo tratado com tramadol intramuscular e controle. Os grupos tratados com morfina epidural e tramadol epidural apresentaram menores valores de epinefrina que o grupo que recebeu tramadol intramuscular 2 horas após administração do agente analgésico. Os animais tratados com morfina não necessitaram medicação resgate durante o decorrer do estudo. Com base nos resultados obtidos, pode-se concluir que o emprego do tramadol epidural em cães é técnica segura, livre de efeitos adversos no sistema cardiorespiratório, porém o tratamento com morfina epidural foi superior a este e aos demais grupos com relação à qualidade da analgesia, sem apresentar efeitos adversos importantes

The aim of this study was to compare epidural or systemic tramadol and morphine to control postoperative pain in bitches submitted to ovariohysterectomy and to determine the effects of treatments on cardio and respiratory systems as well as side effects. Forty female dogs were randomly divided into four groups. Group 1 received 2…

Advisors/Committee Members: Fantoni, Denise Tabacchi.

Subjects/Keywords: Analgesia (epidural); Analgesia (epidural); Bitches; Cães; Morfina; Morphine; Tramadol; Tramadol

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Mastrocinque, S. (2005). Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;

Chicago Manual of Style (16^th Edition):

Mastrocinque, Sandra. “Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia.” 2005. Doctoral Dissertation, University of São Paulo. Accessed January 18, 2021. http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;.

MLA Handbook (7^th Edition):

Mastrocinque, Sandra. “Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia.” 2005. Web. 18 Jan 2021.

Vancouver:

Mastrocinque S. Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia. [Internet] [Doctoral dissertation]. University of São Paulo; 2005. [cited 2021 Jan 18]. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;.

Council of Science Editors:

Mastrocinque S. Avaliação do emprego do tramadol epidural ou sistêmico e da morfina epidural em cadelas submetidas à ovariohisterectomia. [Doctoral Dissertation]. University of São Paulo; 2005. Available from: http://www.teses.usp.br/teses/disponiveis/10/10137/tde-28092006-173042/ ;

7. Ζώτου, Αναστασία. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).

Degree: 2014, University of Patras

URL: http://hdl.handle.net/10889/8267

► Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό… (more)

▼ Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). Εισαγωγή – Σκοπός : Η αντιμετώπιση του μετεγχειρητικού πόνου σε ασθενείς με νοσογόνο παχυσαρκία που υποβάλλονται σε χειρουργεία απώλειας βάρους θα πρέπει να στοχεύει στον αποτελεσματικό έλεγχο του μετεγχειρητικού πόνου, στην πρώιμη επαναλειτουργία του εντέρου και στην ταχύτερη κινητοποίηση των ασθενών, χωρίς να διακινδυνεύεται η μετεγχειρητική αναπνευστική λειτουργία, καθώς είναι υψηλό το ποσοστό των παχύσαρκων ασθενών με Αποφρακτική Άπνοια στον Ύπνο (OSA). Μέχρι σήμερα δεν υπάρχουν επαρκή δεδομένα σχετικά με τη διαχείριση της μετεγχειρητικής αναλγησίας σε ασθενείς με νοσογόνο παχυσαρκία που υποβάλλονται σε ανοικτά χειρουργεία απώλειας βάρους, ιδιαίτερα με την εφαρμογή θωρακικής επισκληριδίου αναλγησίας με μορφίνη και λεβοβουπιβακαΐνη. Υλικό – Μέθοδος : Στην παρούσα προοπτική, τυχαιοποιημένη, διπλή τυφλή μελέτη, 96 ασθενείς με super νοσογόνο παχυσαρκία (BMI ≥ 50kg/m2) και φυσική κατάσταση κατά ASA II-III, που υποβλήθηκαν σε χολοπαγκρεατική εκτροπή με Roux-En-Y γαστρική παράκαμψη, τυχαιοποιήθηκαν σε 6 ομάδες (ομάδες Α-F με 16 ασθενείς ανά ομάδα). Όλες οι ομάδες έλαβαν μετεγχειρητικά θωρακική επισκληρίδιο αναλγησία με συνεχή έγχυση μορφίνης 0,2mg/h σε συνδυασμό με άπαξ δόσεις λεβοβουπιβακαΐνης μέσω PCEA : στις ομάδες A,B και C χορηγήθηκε χαμηλή συγκέντρωση λεβοβουπιβακαΐνης 0,1%, ενώ στις ομάδες D, E και F χορηγήθηκε υψηλή συγκέντρωση λεβοβουπιβακαΐνης 0,2%. Οι ομάδες A και D δεν έλαβαν διεγχειρητικά δόση εφόδου μορφίνης, ενώ οι ομάδες B και Ε έλαβαν 1mg και οι ομάδες C και F 2mg μορφίνης επισκληριδίως, αντίστοιχα. Κατά την μετεγχειρητική περίοδο εκτιμήθηκε η ένταση του πόνου στην ηρεμία και στο βήχα με βάση την κλίμακα VAS, η συνολική κατανάλωση λεβοβουπιβακαΐνης, η αναπνευστική λειτουργία, οι αιμοδυναμικές μεταβολές, ο χρόνος κινητοποίησης του εντέρου και ο χρόνος κινητοποίησης των ασθενών. Η στατιστική επεξεργασία έγινε με τη χρήση ANOVA ακολουθούμενη από post-hoc δοκιμασίες, με τη μέθοδο χ2, και με μη παραμετρικές μεθόδους για πολλαπλές ομάδες. Αποτελέσματα : Η ένταση του μετεγχειρητικού πόνου δεν διέφερε μεταξύ των ομάδων. Διπλασιάζοντας τη συγκέντρωση της λεβοβουπιβακαΐνης από 0,1% (ομάδες A, B και C) σε 0,2% (ομάδες D, E και F) αυξήθηκε σημαντικά η συνολική κατανάλωση της λεβοβουπιβακαΐνης (P < 0,001), χωρίς να βελτιωθεί η αναλγησία. Η αύξηση της περιεγχειρητικής χορήγησης μορφίνης με τη χορήγηση δόσης εφόδου (ομάδες B,C,E,F) και της συγκέντρωσης της λεβοβουπιβακαΐνης (ομάδες D, E, F) οδήγησε σε παράταση του χρόνου επαναλειτουργίας του εντέρου (P < 0.05 to 0.01) και καθυστέρηση στη κινητοποίηση των ασθενών (P < 0.05 to 0.01). Παρά την υψηλή συχνότητα των παχυσάρκων ασθενών με OSA (69% - 81%) μεταξύ των ομάδων, δεν παρατηρήθηκε κανένα επεισόδιο αναπνευστικής καταστολής. Οι αιμοδυναμικές παράμετροι και η μετεγχειρητική αναπνευστική λειτουργία, διατηρήθηκαν… Advisors/Committee Members: Καλφαρέντζος, Φώτης, Zotou, Anastasia, Καλφαρέντζος, Φώτης, Φλίγκου, Φωτεινή, Σκρουμπής, Γεώργιος, Σταυρόπουλος, Μιχάλης, Κούκουρας, Δημήτριος, Παναγόπουλος, Κωνσταντίνος, Κεχαγιάς, Ιωάννης.

Subjects/Keywords: Επισκληρίδιος αναλγησία; Παχυσαρκία; Βαριατρική χειρουργική; Λεβοβουπιβακαίνη; Μορφίνη; 617.430 1; Epidural analgesia; Obesity; Bariatric surgery; Levobupivacaine; Morphine

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Ζώτου, �. (2014). Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). (Doctoral Dissertation). University of Patras. Retrieved from http://hdl.handle.net/10889/8267

Chicago Manual of Style (16^th Edition):

Ζώτου, Αναστασία. “Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).” 2014. Doctoral Dissertation, University of Patras. Accessed January 18, 2021. http://hdl.handle.net/10889/8267.

MLA Handbook (7^th Edition):

Ζώτου, Αναστασία. “Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη).” 2014. Web. 18 Jan 2021.

Vancouver:

Ζώτου �. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). [Internet] [Doctoral dissertation]. University of Patras; 2014. [cited 2021 Jan 18]. Available from: http://hdl.handle.net/10889/8267.

Council of Science Editors:

Ζώτου �. Σύγκριση τεχνικών για την αντιμετώπιση του μετεγχειρητικού πόνου μετά από χολοπαγκρεατική εκτροπή για τη θεραπεία της νοσογόνου παχυσαρκίας, με τη χορήγηση επισκληριδίου αναλγησίας με τοπικό αναισθητικό (λεβοβουπιβακαΐνη) και οπιοειδές (μορφίνη). [Doctoral Dissertation]. University of Patras; 2014. Available from: http://hdl.handle.net/10889/8267

Virginia Tech

8. Sysel, Annette M. Investigation into the use of an epidural morphine sulfate and detomidine hydrochloride combination in horses: Part 1: efficacy in alleviation of hindlimb pain, Part 2: long-term systemic and local effects.

Degree: MS, Veterinary Medical Sciences, 1996, Virginia Tech

URL: http://hdl.handle.net/10919/44476

► In Part 1, amphotericin B-induced synovitis of the left tarsocrural joint was used to create hindlimb lameness in 11 horses. Caudal epidural catheters were placed… (more)

▼ In Part 1, amphotericin B-induced synovitis of the left tarsocrural joint was used to create hindlimb lameness in 11 horses. Caudal epidural catheters were placed and advanced to the lumbosacral region. Baseline heart and respiratory rates were recorded and horses were videotaped at a walk and trot. Treated horses received 0.2 mg/kg morphine sulfate and 30 ug/kg detomidine hydrochloride through the epidural catheter; control horses received an equivalent volume of physiologic saline solution through the catheter. At hourly intervals after epidural injection for a total of 6 hours, heart and respiratory rates were recorded and horses were videotaped walking and trotting. At the end of the observation period, video recordings were scrambled onto a master videotape. Lamenesses were scored by 3 investigators. Lameness grades, heart rates and respiratory rates were compared. There was a significant decrease in lameness grades after treatment with epidural morphine and detomidine. Initially, heart rates significantly increased in control horses and decreased in treated horses. A similar trend occurred for respiratory rates. In Part 2, caudal epidural catheters were used to administer injections to 10 horses every 12 hours for 14 days. Treated horses received 0.2 nlg/kg morphine sulfate and 30 ug/kg detomidine hydrochloride, and control horses received an equivalent volume of physiologic saline solution. Body weights were recorded on days 1 and 14. Rectal temperature, heart rate, respiratory rate and gastrointestinal motility were recorded twice daily, and daily hay and water consumption was measured. Horses were euthanatized day 15. Atlanto-occipital cerebrospinal fluid samples were submitted for bacteriologic culture and determination of white and red blood cell counts and protein and glucose concentrations. Post mortem examinations were performed and representative samples of the spinal cord and surrounding tissues were taken from cervicothoracic, thoracolumbar, lumbosacral, sacral and catheter entry point regions. Spinal tissue segments from these regions were graded for histologic degree of inflammation and fibrosis. Cerebrospinal fluid values and spinal tissue segment inflammation and fibrosis grades were compared between control and treated horses, and between all 10 catheterized study horses and 6 uncatheterized horses. No problems were encountered with epidural catheter maintenance or injection. No significant difference was identified in body weight change, daily variables or hay and water consumption between control and treated horses. All cerebrospinal fluid cultures were negative for growth. No significant difference in cerebrospinal fluid values or spinal tissue inflammation or fibrosis grades for any segment was demonstrated between control and treated horses. However, when compared to uncatheterized horses, cerebrospinal fluid red blood cell counts were marginally higher and protein concentrations were significantly higher in catheterized horses. As well, lumbosacral and… Advisors/Committee Members: Pleasant, Robert Scott (committeechair), Jacobson, John D. (committee member), Moll, H. David (committee member), Sponenberg, D. Phillip (committee member), Eyre, Peter (committee member).

Subjects/Keywords: epidural; catheter; morphine; detomidine; horses; LD5655.V855 1996.S974

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APA (6^th Edition):

Sysel, A. M. (1996). Investigation into the use of an epidural morphine sulfate and detomidine hydrochloride combination in horses: Part 1: efficacy in alleviation of hindlimb pain, Part 2: long-term systemic and local effects. (Masters Thesis). Virginia Tech. Retrieved from http://hdl.handle.net/10919/44476

Chicago Manual of Style (16^th Edition):

Sysel, Annette M. “Investigation into the use of an epidural morphine sulfate and detomidine hydrochloride combination in horses: Part 1: efficacy in alleviation of hindlimb pain, Part 2: long-term systemic and local effects.” 1996. Masters Thesis, Virginia Tech. Accessed January 18, 2021. http://hdl.handle.net/10919/44476.

MLA Handbook (7^th Edition):

Sysel, Annette M. “Investigation into the use of an epidural morphine sulfate and detomidine hydrochloride combination in horses: Part 1: efficacy in alleviation of hindlimb pain, Part 2: long-term systemic and local effects.” 1996. Web. 18 Jan 2021.

Vancouver:

Sysel AM. Investigation into the use of an epidural morphine sulfate and detomidine hydrochloride combination in horses: Part 1: efficacy in alleviation of hindlimb pain, Part 2: long-term systemic and local effects. [Internet] [Masters thesis]. Virginia Tech; 1996. [cited 2021 Jan 18]. Available from: http://hdl.handle.net/10919/44476.

Council of Science Editors:

Sysel AM. Investigation into the use of an epidural morphine sulfate and detomidine hydrochloride combination in horses: Part 1: efficacy in alleviation of hindlimb pain, Part 2: long-term systemic and local effects. [Masters Thesis]. Virginia Tech; 1996. Available from: http://hdl.handle.net/10919/44476

9. Γεωργίου, Λουκάς. Η επισκληρίδια μορφίνη στη αντιμετώπιση του μετεγχειρητικού πόνου.

Degree: 1984, Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); National and Kapodistrian University of Athens

URL: http://hdl.handle.net/10442/hedi/23616

Subjects/Keywords: Επισκληρίδια μορφίνη; Πόνος; Μορφίνη; Επισκληρίδιος αναλγησία; Epidural morphine; Morphine analgesia

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APA (6^th Edition):

Γεωργίου, �. (1984). Η επισκληρίδια μορφίνη στη αντιμετώπιση του μετεγχειρητικού πόνου. (Thesis). Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); National and Kapodistrian University of Athens. Retrieved from http://hdl.handle.net/10442/hedi/23616

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Γεωργίου, Λουκάς. “Η επισκληρίδια μορφίνη στη αντιμετώπιση του μετεγχειρητικού πόνου.” 1984. Thesis, Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); National and Kapodistrian University of Athens. Accessed January 18, 2021. http://hdl.handle.net/10442/hedi/23616.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Γεωργίου, Λουκάς. “Η επισκληρίδια μορφίνη στη αντιμετώπιση του μετεγχειρητικού πόνου.” 1984. Web. 18 Jan 2021.

Vancouver:

Γεωργίου �. Η επισκληρίδια μορφίνη στη αντιμετώπιση του μετεγχειρητικού πόνου. [Internet] [Thesis]. Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); National and Kapodistrian University of Athens; 1984. [cited 2021 Jan 18]. Available from: http://hdl.handle.net/10442/hedi/23616.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Γεωργίου �. Η επισκληρίδια μορφίνη στη αντιμετώπιση του μετεγχειρητικού πόνου. [Thesis]. Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); National and Kapodistrian University of Athens; 1984. Available from: http://hdl.handle.net/10442/hedi/23616

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

10. Daniela Lima Chow Castillo. AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal.

Degree: Master, 2009, Universidade Federal do Ceará

URL: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;

►

A s(+)cetamina Ã o isÃmero levÃgiro da cetamina, antagonista do receptor NMDA para glutamato que estÃ envolvido na gÃnese e manutenÃÃo do processo doloroso. A… (more)

▼

A s(+)cetamina Ã o isÃmero levÃgiro da cetamina, antagonista do receptor NMDA para glutamato que estÃ envolvido na gÃnese e manutenÃÃo do processo doloroso. A analgesia multimodal consiste na utilizaÃÃo de combinaÃÃo de fÃrmacos objetivando controle adequado da dor com reduÃÃo dos efeitos adversos. O objetivo deste estudo foi avaliar a eficiÃncia da s(+)cetamina isoladamente e da associaÃÃo morfina/cetamina comparadas Ã morfina isoladamente combinadas a mistura enantiomÃrica de bupivacaÃna (R75l25%) na anestesia peridural e analgesia pÃs-operatÃria em pacientes submetidas Ã histerectomia abdominal. Foi realizado estudo prospectivo, duplo cego e aleatÃrio, com aprovaÃÃo do ComitÃ de Ãtica e Pesquisa da Universidade Federal do CearÃ. Participaram do estudo 36 pacientes ASA I ou II com idade de 20 a 60 anos submetidas Ã histerectomia abdominal com anestesia peridural. As pacientes foram alocadas em trÃs grupos: Grupo 1 - Grupo Cetamina (GC): administraÃÃo de mistura enantiomÃtrica (R75-S25) de bupivacaÃna associada Ã s(+)cetamina; Grupo 2 â Grupo Morfina (GM): administraÃÃo de mistura enantiomÃtrica (R75-S25) de bupivacaÃna associada Ã morfina e Grupo 3 - Grupo Cetamina/Morfina(GCM): administraÃÃo de mistura enantiomÃtrica (R75-S25) de bupivacaÃna associada Ã morfina e s(+)cetamina. Foram avaliados nÃvel de bloqueio motor e sensitivo, grau de sedaÃÃo e parÃmetros hemodinÃmicos: pressÃo arterial e frequÃncia cardÃaca a cada 15 minutos durante a cirurgia. No perÃodo pÃs-operatÃrio foi avaliado o consumo de analgÃsicos em 6 e 24 horas, alÃm da incidÃncia de nÃuseas, vÃmitos e prurido. A anÃlise estatÃstica foi realizada utilizando os softwares graphpad prisma 4.0 e Excel 2007. NÃo houve diferenÃa entre a idade, tempo cirÃrgico e o estado fÃsico (ASA) entre os grupos (p<0,05). A frequÃncia cardÃaca e pressÃo arterial mantiveram-se dentro dos valores estabelecidos como normal sem variaÃÃo significativa entre os grupos. A avaliaÃÃo da incidÃncia de efeitos adversos (nÃuseas, vÃmitos e prurido) nÃo foi diferente entre os grupos. A analgesia pÃs-operatÃria avaliada por consumo de analgÃsicos nas primeiras 6 horas nÃo foi diferente entre os grupos. Houve maior grau de bloqueio motor no grupo Cetamorf no tempo T15. Houve conversÃo para anestesia geral em 4 pacientes por falha de bloqueio, nos grupos cetamina-morfina (02 pacientes) e morfina (02 pacientes). Os dados sugerem que a adiÃÃo de s(+)cetamina e morfina nas doses avaliadas Ã segura, eficaz e permite a reduÃÃo de 50% na dose da morfina epidural mantendo-se o perfil de controle de dor no pÃs operatÃrio. No entanto, nÃo se verificou reduÃÃo da incidÃncia de nÃuseas, vÃmitos e prurido.

The association of drugs with different mechanisms of action in the dorsal horn of the spinal cord decreases postoperative pain, with a reduction in the incidence of side effects. The aim of this study was to evaluate some intraoperative parameters as well as postoperative analgesia and sedation by epidural morphine, S(+)ketamine and S(+) ketamine- morphine associated with Bupivacaine…

Advisors/Committee Members: JosenÃlia Maria Alves Gomes, Claudia Regina Fernandes, Maria Elisabete Amaral de Moraes.

Subjects/Keywords: FARMACOLOGIA; s(+)cetamina; morfina; analgesia; mistura enantiomÃtrica (R75-S25) de bupivacaÃna; anestesia peridural; postoperative analgesia; multimodal analgesia; morphine; S(+) Ketamine; Bupivacaine Enantiometric Mixture (R75L25%); epidural anesthesia

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Castillo, D. L. C. (2009). AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal. (Masters Thesis). Universidade Federal do Ceará. Retrieved from http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;

Chicago Manual of Style (16^th Edition):

Castillo, Daniela Lima Chow. “AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal.” 2009. Masters Thesis, Universidade Federal do Ceará. Accessed January 18, 2021. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;.

MLA Handbook (7^th Edition):

Castillo, Daniela Lima Chow. “AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal.” 2009. Web. 18 Jan 2021.

Vancouver:

Castillo DLC. AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal. [Internet] [Masters thesis]. Universidade Federal do Ceará 2009. [cited 2021 Jan 18]. Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;.

Council of Science Editors:

Castillo DLC. AnÃlise comparativa do perfil de seguranÃa e eficÃcia analgÃsica da S(+) cetamina com ou sem morfina na anestesia peridural para histerectomia abdominal. [Masters Thesis]. Universidade Federal do Ceará 2009. Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=4561 ;

11. Shibata, Yoshihisa; Nimura, Yuji; Yasui, Akihiro; Miyachi, Masahiko. The effect of epidural morphine on human intestinal motility in the early postoperative period.

Degree: 2018, Nagoya University / 名古屋大学

URL: http://hdl.handle.net/2237/16797

►

The early postoperative recovery of intestinal motility and the response of motility to epidural morphine were investigated in 20 patients. Periodic motor activities in the… (more)

Subjects/Keywords: Analgesia; Early postoperative state; Epidural anaesthesia; Gastrectomy; Intestinal motility; Morphine

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APA (6^th Edition):

Shibata, Yoshihisa; Nimura, Yuji; Yasui, Akihiro; Miyachi, M. (2018). The effect of epidural morphine on human intestinal motility in the early postoperative period. (Thesis). Nagoya University / 名古屋大学. Retrieved from http://hdl.handle.net/2237/16797

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Shibata, Yoshihisa; Nimura, Yuji; Yasui, Akihiro; Miyachi, Masahiko. “The effect of epidural morphine on human intestinal motility in the early postoperative period.” 2018. Thesis, Nagoya University / 名古屋大学. Accessed January 18, 2021. http://hdl.handle.net/2237/16797.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Shibata, Yoshihisa; Nimura, Yuji; Yasui, Akihiro; Miyachi, Masahiko. “The effect of epidural morphine on human intestinal motility in the early postoperative period.” 2018. Web. 18 Jan 2021.

Vancouver:

Shibata, Yoshihisa; Nimura, Yuji; Yasui, Akihiro; Miyachi M. The effect of epidural morphine on human intestinal motility in the early postoperative period. [Internet] [Thesis]. Nagoya University / 名古屋大学; 2018. [cited 2021 Jan 18]. Available from: http://hdl.handle.net/2237/16797.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Shibata, Yoshihisa; Nimura, Yuji; Yasui, Akihiro; Miyachi M. The effect of epidural morphine on human intestinal motility in the early postoperative period. [Thesis]. Nagoya University / 名古屋大学; 2018. Available from: http://hdl.handle.net/2237/16797

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

12. Διαμαντής, Μόρφης. Περιοχική αναισθησία ταχείας διακίνησης στην καισαρική τομή.

Degree: 2012, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ)

URL: http://hdl.handle.net/10442/hedi/29614

► Introduction: Nowadays, regional anaesthesia has replaced general anaesthesia forelective caesarean sections. The aim of this randomized study was to compare thecombined subarachnoid-epidural technique with the… (more)

▼ Introduction: Nowadays, regional anaesthesia has replaced general anaesthesia forelective caesarean sections. The aim of this randomized study was to compare thecombined subarachnoid-epidural technique with the epidural technique.Materials and methods: One hundred and eight parturients scheduled for electivecaesarean section were randomly chosen to receive combined subarachnoid-epiduralanaesthesia (n = 54) or epidural anaesthesia (n = 54). Through the epidural catheter, 15ml of ropivacaine 0.75% in increments was given to the epidural group, whereas thecombined group received 2 ml of ropivacaine 0.75%. After the operation, the methods ofchoice for analgesia were the systematic epidural administration of 0.2% ropivacaine andthe application of a PCA pump with morphine.Time required for the sensory block to reach T10, Σ7 and T4 dermatomes, thelevel of motor block when sensory block was at T7 dermatome, the supplementary dosesand the rescue doses of ropivacaine needed intraoperatively were recorded, as well as theincision time and the duration of surgery, the time of entrance and discharge from thePACU, and the duration of PACU stay. Regression of the block below T4 dermatome andup to T6 dermatome, were registered. Finally, the time of full recovery of motor blockwas recorded, as well as the level of the sensory block at that moment.Two, 4, 8 and 24 hours after the operation, the analgesic requirements formorphine, as well as the VAS scores at rest and cough were recorded. Ambulation ability8 hours after the operation, satisfaction using the verbal score scale 0-10, as well as theincidence of headache, nausea and vomiting, in the first 24 hours postoperatively wererecorded.Results: Time required for the sensory block to reach T7 and T10 was 13.1 ± 3.8 minand 17.79 ± 5.35 min for epidural anaesthesia and 5 ± 2.7 min and 6.5 ± 2.3 min forcombined anaesthesia respectively (p< 0.001). Sensory block reached T4 dermatomeafter 28 ± 10 min in the epidural group and after 9 ± 4 min in the combined group (p<0.001) and regressed to T6 dermatome after 200 (98-439) min in the epidural group and125.5 (70-332) min in the combined group (p< 0.001). At the time sensory block was atT7, there was a better motor response in the epidural group compared to the combinedgroup. Eleven out of 53 parturients needed supplementary dose from the epidural group,102whereas no parturient needed supplementary dose in the combined group (p< 0.001).There was no significant difference in the number of parturients requiring rescue dosebetween the two groups (p= 0.72). The incision time was significantly higher in theepidural (34.81 ± 9.05) than in the combined anaesthesia group (16.77 ± 4.2) (p< 0.001).The duration of surgery was significantly higher in the epidural (84.88 ± 14.42 min) thanin the combined group (68.48 ± 14.2 min) (p< 0.001). In addition, there was a significantdifference in time of entrance and exit from the PACU between the epidural group (93.14± 14.9 and 233.3 ± 86.02 min, respectively) and the combined group (76.23 ± 14.2 and154.65 ± 61.8…

Subjects/Keywords: Επισκληρίδιος αναισθησία; Συνδυασμένη υπαραχνοειδής - επισκληρίδια αναισθησία; Καισαρική τομή; Ταχεία διακίνηση; Ροπιβακαΐνη; Μετεγχειρητικός πόνος; Κατανάλωση μορφίνης; Ικανοποίηση ασθενών; Epidural anesthesia; Combined spinal epidural anesthesia; Cesarean section; Fast tracking; Ropivacaine; Postoperative pain; Morphine consuption; Patient satisfaction

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Διαμαντής, . �. (2012). Περιοχική αναισθησία ταχείας διακίνησης στην καισαρική τομή. (Thesis). National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Retrieved from http://hdl.handle.net/10442/hedi/29614

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Διαμαντής, Μόρφης. “Περιοχική αναισθησία ταχείας διακίνησης στην καισαρική τομή.” 2012. Thesis, National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ). Accessed January 18, 2021. http://hdl.handle.net/10442/hedi/29614.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Διαμαντής, Μόρφης. “Περιοχική αναισθησία ταχείας διακίνησης στην καισαρική τομή.” 2012. Web. 18 Jan 2021.

Vancouver:

Διαμαντής �. Περιοχική αναισθησία ταχείας διακίνησης στην καισαρική τομή. [Internet] [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2012. [cited 2021 Jan 18]. Available from: http://hdl.handle.net/10442/hedi/29614.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Διαμαντής �. Περιοχική αναισθησία ταχείας διακίνησης στην καισαρική τομή. [Thesis]. National and Kapodistrian University of Athens; Εθνικό και Καποδιστριακό Πανεπιστήμιο Αθηνών (ΕΚΠΑ); 2012. Available from: http://hdl.handle.net/10442/hedi/29614

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Swedish University of Agricultural Sciences

13. Malavasi, Laís de Matos. Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery.

Degree: 2005, Swedish University of Agricultural Sciences

URL: http://pub.epsilon.slu.se/939/

► Pigs are commonly used in biomedical research, often subjected to complicated and invasive surgical procedures. The knowledge of appropriate analgesia and anaesthesia in pigs however… (more)

▼ Pigs are commonly used in biomedical research, often subjected to complicated and invasive surgical procedures. The knowledge of appropriate analgesia and anaesthesia in pigs however is limited. Therefore, the general aim of the present thesis was to establish and evaluate opioid analgesia suitable for abdominal surgery in growing pigs. Isoflurane minimal alveolar concentration (MAC) was determined in growing pigs using claw pinching. Thereafter, each pig was randomly studied thrice to determine the MAC values in the following treatments: induction of anaesthesia with medetomidine and tiletamine/zolazepam given intramuscularly (MTZ); MTZ followed by epidural morphine (MTZ/M); and MTZ followed by intramuscular buprenorphine (MTZ/B). Pigs were subjected to abdominal surgery during isoflurane anaesthesia and physiological and behavioural effects of MTZ/M and MTZ/B compared to MTZ were evaluated. Transdermal fentanyl was applied and the effects were evaluated for 60 h in conscious pigs and in pigs treated with MTZ/M. Opioid serum concentrations were monitored up to 72 h after drug administration. Behaviour was analysed utilizing videotape recordings of pigs’ activity level before and after surgery. Induction of anaesthesia with MTZ reduced the isoflurane MAC in pigs by 68%. Additional epidural morphine and systemic buprenorphine decreased MTZ isoflurane MAC by 33% and 50%, respectively. Pigs treated with epidural morphine or systemic buprenorphine prior to abdominal surgery attained surgical anaesthetic depth with reduced isoflurane requirement. Induction of anaesthesia with MTZ improved arterial blood pressure and oxygenation compared to isoflurane induction. Epidural morphine did not influence the cardiorespiratory functions during anaesthesia but systemic buprenorphine affected the respiratory response in spontaneously breathing pigs. The postoperative activity level after epidural morphine was lower but the pigs gained weight and the feed intake was similar compared to before surgery. Combining epidural morphine and transdermal fentanyl resulted in initial return to regular activity levels and weight gain after surgery. Twelve hours after surgery these pigs showed decreased activity but still gained weight. Transdermal fentanyl alone in conscious pigs did not cause inactivity or sedation but resulted in inter-individual variations in fentanyl serum concentrations. Systemic buprenorphine caused unpredictable activity levels with postoperative decrease in weight and feed consumption. The analgesic properties of MTZ contributed to a substantial reduction in concentration of isoflurane required for maintenance of inhalation anaesthesia. Additional preoperative opioid analgesia further reduced the requirements of isoflurane needed to maintain an adequate anaesthetic depth. The opioids evaluated resulted in different behaviour postoperatively. Pigs treated with epidural morphine with or without transdermal fentanyl had good appetite and gained weight after abdominal surgery indicating improved postoperative recovery.

Subjects/Keywords: swine; anaesthesia; analgesics; morphine; pain; behaviour; surgical operations; laboratory diagnosis; swine; anaesthesia; analgesia; epidural morphine; buprenorphine; transdermal fentanyl; minimal alveolar concentration; isoflurane; pain assessment; behaviour

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6^th Edition):

Malavasi, L. d. M. (2005). Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery. (Doctoral Dissertation). Swedish University of Agricultural Sciences. Retrieved from http://pub.epsilon.slu.se/939/

Chicago Manual of Style (16^th Edition):

Malavasi, Laís de Matos. “Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery.” 2005. Doctoral Dissertation, Swedish University of Agricultural Sciences. Accessed January 18, 2021. http://pub.epsilon.slu.se/939/.

MLA Handbook (7^th Edition):

Malavasi, Laís de Matos. “Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery.” 2005. Web. 18 Jan 2021.

Vancouver:

Malavasi LdM. Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery. [Internet] [Doctoral dissertation]. Swedish University of Agricultural Sciences; 2005. [cited 2021 Jan 18]. Available from: http://pub.epsilon.slu.se/939/.

Council of Science Editors:

Malavasi LdM. Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery. [Doctoral Dissertation]. Swedish University of Agricultural Sciences; 2005. Available from: http://pub.epsilon.slu.se/939/

Université de Montréal

14. Nekoui, Alireza. Comparaison entre l'infiltration para-vertébrale rétrolaminaire d'un mélange analgésique non-stéroïde et l'infiltration péridurale stéroïdienne chez les patients souffrant de douleurs radiculaires chroniques : une étude rétrospective.

Degree: 2018, Université de Montréal

URL: http://hdl.handle.net/1866/21372

Subjects/Keywords: Étude rétrospective; Infiltration péridurale de stéroïdes (ESI); Infiltration paravertébrale rétrolaminaire (IPVR); Morphine; Kétamine; Néostigmine; Naloxone; Bupivacaïne; Retrospective study; Epidural steroid infiltration (ESI); Retrolaminar paravertebral infiltration (RPVI); Ketamine; Bupivacaine; Health Sciences - Medicine and Surgery / Sciences de la santé - Médecine et chirurgie (UMI : 0564)

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APA (6^th Edition):

Nekoui, A. (2018). Comparaison entre l'infiltration para-vertébrale rétrolaminaire d'un mélange analgésique non-stéroïde et l'infiltration péridurale stéroïdienne chez les patients souffrant de douleurs radiculaires chroniques : une étude rétrospective. (Thesis). Université de Montréal. Retrieved from http://hdl.handle.net/1866/21372

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Nekoui, Alireza. “Comparaison entre l'infiltration para-vertébrale rétrolaminaire d'un mélange analgésique non-stéroïde et l'infiltration péridurale stéroïdienne chez les patients souffrant de douleurs radiculaires chroniques : une étude rétrospective.” 2018. Thesis, Université de Montréal. Accessed January 18, 2021. http://hdl.handle.net/1866/21372.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Nekoui, Alireza. “Comparaison entre l'infiltration para-vertébrale rétrolaminaire d'un mélange analgésique non-stéroïde et l'infiltration péridurale stéroïdienne chez les patients souffrant de douleurs radiculaires chroniques : une étude rétrospective.” 2018. Web. 18 Jan 2021.

Vancouver:

Nekoui A. Comparaison entre l'infiltration para-vertébrale rétrolaminaire d'un mélange analgésique non-stéroïde et l'infiltration péridurale stéroïdienne chez les patients souffrant de douleurs radiculaires chroniques : une étude rétrospective. [Internet] [Thesis]. Université de Montréal; 2018. [cited 2021 Jan 18]. Available from: http://hdl.handle.net/1866/21372.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Nekoui A. Comparaison entre l'infiltration para-vertébrale rétrolaminaire d'un mélange analgésique non-stéroïde et l'infiltration péridurale stéroïdienne chez les patients souffrant de douleurs radiculaires chroniques : une étude rétrospective. [Thesis]. Université de Montréal; 2018. Available from: http://hdl.handle.net/1866/21372

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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Open Access Theses and Dissertations