Evaluación de la efectividad de morfina intratecal en analgesia postoperatoria en pacientes histerectomizadas.

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Title: Evaluación de la efectividad de morfina intratecal en analgesia postoperatoria en pacientes histerectomizadas.
Alternate Title: Evaluation of the effectiveness of intrathecal morphine in postoperative analgesia in hysterectomized patients.
Authors: Morelo-Lora, Uriel Ángel1, Armas-Pedrosa, Guillermo1, de la Paz-Estrada, Carlos2 carlosdelapazestrada@gmail.com, Pías-Solís, Sarah1
Source: Revista Mexicana de Anestesiología. abr-jun2025, Vol. 48 Issue 2, p76-79. 4p.
Abstract (English): Objective: to evaluate the analgesic quality of intrathecal morphine at different postoperative doses. Material and methods: a sample of 50 hysterectomy patients divided into two double-blind groups was used, using bupivacaine at 0.5% 10 mg plus morphine, at two different doses of 0.3 and 0.5 mg, where the predominant age of the patients was more than 40 years, a classification of the functional status of group II ASA, the presence of co-morbidities mainly hypertension in a high number of patients although compensated. Results: the adverse effects found were nausea, vomiting and light pruritus; which predominated in group II. However, the patients in this group showed better pain quality, less use of analgesia for rescue in the postoperative period and a higher degree of satisfaction, so the dose used in them was the most effective. Conclusions: the results of this research allow the use of intrathecal morphine as an anesthetic method in hysterectomies to control postoperative pain at the indicated doses. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: evaluar la calidad analgésica de la morfina intratecal a diferentes dosis en el postoperatorio. Material y métodos: se utilizó una muestra de 50 pacientes histerectomizadas divididas en dos grupos a doble ciego, utilizando bupivacaína al 0.5% 10 mg más morfina, a dos dosis diferentes de 0.3 y 0.5 mg, donde la edad predominante de las pacientes fue de más de 40 años, una clasificación del estado funcional de la ASA del grupo II, la presencia de comorbilidades principalmente hipertensión arterial en un elevado número de pacientes, aunque compensada. Resultados: los efectos adversos encontrados fueron náuseas, vómitos y prurito ligero; los cuales predominaron en el grupo II. Sin embargo, las pacientes de este grupo mostraron mejor calidad del dolor, menor uso de analgesia para rescate en el postoperatorio y mayor grado de satisfacción, por lo que la dosis empleada en ellas fue la más efectiva. Conclusiones: los resultados de esta investigación permiten el empleo de la morfina intratecal como método anestésico en las histerectomías para el control del dolor postoperatorio a las dosis señaladas. [ABSTRACT FROM AUTHOR]
Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Evaluación de la efectividad de morfina intratecal en analgesia postoperatoria en pacientes histerectomizadas.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Evaluation of the effectiveness of intrathecal morphine in postoperative analgesia in hysterectomized patients.
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  Data: <searchLink fieldCode="AR" term="%22Morelo-Lora%2C+Uriel+Ángel%22">Morelo-Lora, Uriel Ángel</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Armas-Pedrosa%2C+Guillermo%22">Armas-Pedrosa, Guillermo</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22de+la+Paz-Estrada%2C+Carlos%22">de la Paz-Estrada, Carlos</searchLink><relatesTo>2</relatesTo><i> carlosdelapazestrada@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Pías-Solís%2C+Sarah%22">Pías-Solís, Sarah</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Mexicana+de+Anestesiología%22">Revista Mexicana de Anestesiología</searchLink>. abr-jun2025, Vol. 48 Issue 2, p76-79. 4p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: to evaluate the analgesic quality of intrathecal morphine at different postoperative doses. Material and methods: a sample of 50 hysterectomy patients divided into two double-blind groups was used, using bupivacaine at 0.5% 10 mg plus morphine, at two different doses of 0.3 and 0.5 mg, where the predominant age of the patients was more than 40 years, a classification of the functional status of group II ASA, the presence of co-morbidities mainly hypertension in a high number of patients although compensated. Results: the adverse effects found were nausea, vomiting and light pruritus; which predominated in group II. However, the patients in this group showed better pain quality, less use of analgesia for rescue in the postoperative period and a higher degree of satisfaction, so the dose used in them was the most effective. Conclusions: the results of this research allow the use of intrathecal morphine as an anesthetic method in hysterectomies to control postoperative pain at the indicated doses. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: evaluar la calidad analgésica de la morfina intratecal a diferentes dosis en el postoperatorio. Material y métodos: se utilizó una muestra de 50 pacientes histerectomizadas divididas en dos grupos a doble ciego, utilizando bupivacaína al 0.5% 10 mg más morfina, a dos dosis diferentes de 0.3 y 0.5 mg, donde la edad predominante de las pacientes fue de más de 40 años, una clasificación del estado funcional de la ASA del grupo II, la presencia de comorbilidades principalmente hipertensión arterial en un elevado número de pacientes, aunque compensada. Resultados: los efectos adversos encontrados fueron náuseas, vómitos y prurito ligero; los cuales predominaron en el grupo II. Sin embargo, las pacientes de este grupo mostraron mejor calidad del dolor, menor uso de analgesia para rescate en el postoperatorio y mayor grado de satisfacción, por lo que la dosis empleada en ellas fue la más efectiva. Conclusiones: los resultados de esta investigación permiten el empleo de la morfina intratecal como método anestésico en las histerectomías para el control del dolor postoperatorio a las dosis señaladas. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: abr-jun2025
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              Y: 2025
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