MATERNAL AND FETAL CONCENTRATION OF MORPHINE AFTER INTRATHECAL ADMINISTRATION DURING LABOR

被引:24
|
作者
BONNARDOT, JP
MAILLET, M
COLAU, JC
MILLOT, F
DELIGNE, P
机构
[1] HOP TENON, DEPT ANESTHESIE REANIMAT, F-75970 PARIS 20, FRANCE
[2] HOP TENON, SERV GYNECOL OBSTET, F-75970 PARIS 20, FRANCE
[3] HOP TENON, BIOCHIM LAB, F-75970 PARIS 20, FRANCE
关键词
D O I
10.1093/bja/54.5.487
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Healthy women (25) in labor received morphine 1-1.75 mg in normal saline intrathecally. The residual pain was evaluated on a scale for 0-5 at 10 (score 2.5) and 25 min (score 1.5). After delivery the maternal and fetal plasma morphine concentrations were measured by radioimmunoassay in 14 parturients. Of the 25 women, 23 had vaginal deliveries, 20 of them without forceps. The maternal and fetal plasma concentrations of morphine were .gtoreq. 6 ng/ml. The intrathecal (but not extradural) administration of morphine is effective and could provide an alternative for pain relief in labor.
引用
收藏
页码:487 / 489
页数:3
相关论文
共 50 条
  • [31] Maternal respiratory arrests, severe hypotension, and fetal distress after administration of intrathecal, sufentanil, and bupivacaine after intravenous fentanyl
    Lu, JK
    Manullang, TR
    Staples, MH
    Kern, SE
    Bailey, PL
    ANESTHESIOLOGY, 1997, 87 (01) : 170 - 172
  • [32] UTERINE HYPERACTIVITY AFTER INTRATHECAL INJECTION OF FENTANYL FOR ANALGESIA DURING LABOR - A CAUSE OF FETAL BRADYCARDIA
    CLARKE, VT
    SMILEY, RM
    FINSTER, M
    ANESTHESIOLOGY, 1994, 81 (04) : 1083 - 1083
  • [33] FETAL TACHYCARDIA AND MATERNAL PYREXIA DURING LABOR
    ODENDAAL, HJ
    CRAWFORD, JW
    SOUTH AFRICAN MEDICAL JOURNAL, 1975, 49 (45): : 1873 - 1875
  • [34] FETAL AND MATERNAL PLASMA CORTISOL LEVELS DURING LABOR AND AFTER DELIVERY IN HUMAN
    KNAPSTEIN, P
    GUNDEL, M
    LANZ, E
    LOMMER, D
    SINTERHAUF, K
    ZEITSCHRIFT FUR KLINISCHE CHEMIE UND KLINISCHE BIOCHEMIE, 1975, 13 (08): : 351 - 353
  • [35] Plasma morphine, morphine-6-glucuronide, and morphine-3-glucuronide after intrathecal and intravenous morphine administration
    Bailey, PL
    Lu, JK
    Slawson, MH
    Crouch, DJ
    Rollins, DE
    ANESTHESIOLOGY, 1999, 91 (3A) : U244 - U244
  • [36] DISTRIBUTION OF PETHIDINE AND ITS METABOLITES IN MATERNAL AND FETAL SYSTEMS FOLLOWING INTRAMUSCULAR ADMINISTRATION DURING LABOR
    ODONOGHUERYAN, SEF
    IRISH JOURNAL OF MEDICAL SCIENCE, 1977, 146 (09) : 311 - 312
  • [37] Intrathecal administration of drinking water and morphine
    Bilir, Ayten
    Gulec, Sacit
    JOURNAL OF PALLIATIVE CARE, 2006, 22 (04) : 315 - 316
  • [38] EFFECTS OF DIPHENHYDRAMINE IN THE FETAL LAMB AFTER MATERNAL OR FETAL ADMINISTRATION
    RURAK, DW
    YOO, SD
    KWAN, E
    TAYLOR, SM
    RIGGS, KW
    AXELSON, JE
    JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS, 1988, 247 (01): : 271 - 278
  • [39] FETAL RADIOCONTAMINATION DURING MATERNAL ADMINISTRATION OF RADIOPHARMACEUTICALS
    STERNBERG, J
    GELFAND, MM
    JOURNAL OF NUCLEAR MEDICINE, 1970, 11 (06) : 364 - +
  • [40] The effect of maternal oxygen administration on fetal pulse oximetry during labor in fetuses with nonreassuring fetal heart rate patterns
    Haydon, Michael L.
    Gorenberg, David M.
    Nageotte, Michael P.
    Ghamsary, Mark
    Rumney, Pamela I.
    Patillo, Carol
    Garite, Thomas J.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2006, 195 (03) : 735 - 738