Continuous epidural morphine/butorphanol infusion following selective dorsal rhizotomy in children

C. David Lawhorn, Frederick Boop, Raeford E. Brown, Pamela D. Andelman, Michael L. Schmitz, Patti J. Kymer, Robert Shirey

Research output: Contribution to journalArticle

6 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)621-624
Number of pages4
JournalChild's Nervous System
Volume11
Issue number11
DOIs
StatePublished - Nov 1 1995
Externally publishedYes

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Butorphanol
Rhizotomy
Morphine
Pain
Occupational Therapy
Operative Surgical Procedures
Pruritus
Postoperative Pain
Respiratory Insufficiency
Nausea
Vomiting
Analgesics
Catheters
Oxygen
Incidence

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Lawhorn, C. D., Boop, F., Brown, R. E., Andelman, P. D., Schmitz, M. L., Kymer, P. J., & Shirey, R. (1995). Continuous epidural morphine/butorphanol infusion following selective dorsal rhizotomy in children. Child's Nervous System, 11(11), 621-624. https://doi.org/10.1007/BF00300716

Continuous epidural morphine/butorphanol infusion following selective dorsal rhizotomy in children. / Lawhorn, C. David; Boop, Frederick; Brown, Raeford E.; Andelman, Pamela D.; Schmitz, Michael L.; Kymer, Patti J.; Shirey, Robert.

In: Child's Nervous System, Vol. 11, No. 11, 01.11.1995, p. 621-624.

Research output: Contribution to journalArticle

Lawhorn, CD, Boop, F, Brown, RE, Andelman, PD, Schmitz, ML, Kymer, PJ & Shirey, R 1995, 'Continuous epidural morphine/butorphanol infusion following selective dorsal rhizotomy in children', Child's Nervous System, vol. 11, no. 11, pp. 621-624. https://doi.org/10.1007/BF00300716
Lawhorn, C. David ; Boop, Frederick ; Brown, Raeford E. ; Andelman, Pamela D. ; Schmitz, Michael L. ; Kymer, Patti J. ; Shirey, Robert. / Continuous epidural morphine/butorphanol infusion following selective dorsal rhizotomy in children. In: Child's Nervous System. 1995 ; Vol. 11, No. 11. pp. 621-624.
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