The Journal of Bone and Joint Surgery, Vol 66, Issue 1 113-116, Copyright © 1984 by Journal of Bone and Joint Surgery, Inc
The use of epidural morphine to decrease postoperative pain in patients undergoing lumbar laminectomy
GR Rechtine, CM Reinert and HH Bohlman
In a double-blind study of fifty patients that was done to test the ability
of epidural morphine to decrease the discomfort after lumbar laminectomy,
we found that during the first postoperative day the patient's pain was
lessened appreciably but that the total dose of morphine received
postoperatively was not diminished. We used a three-milligram dose of
epidural morphine, and there were no problems with respiratory depression.
The addition of epinephrine to the morphine solution had no beneficial
effect.