Comparison for Pethidine Requirement in Patients Received Spinal Morphine 0.2 and 0.3 mg for Post Lobectomy Analgesia (pain)
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Thoracotomy causes severe pain to the patients. Continuous thoracic epidural is a gold standard for postoperative pain. However, it needs skill. There are many alternatives such as spinal morphine, intercostal nerve block, cryoalangesia or interpleural block.
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Ages Eligible for Study:
18 Years to 70 Years (Adult, Senior)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Age > 18 year and < 70 year
Patient ASA physical status I-III.
Scheduled for thoracotomy with lobectomy.
Can operate a patient-controlled analgesia (PCA) device.
Known hypersensitivity to morphine or pethidine
History of bleeding tendency.
Known case of infection at the back
Patient refuse for spinal anesthesia
History of cerebrovascular disease.
Scheduled for video-assisted thoracoscopic lobectomy.
Need mechanical ventilatory support during postoperative period