Combined morphine-clonidine adjuvant in epidural analgesia support role of supraspinal modulation in opioid tolerant patient

Bali Journal of Anesthesiology

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Field Value
 
Title Combined morphine-clonidine adjuvant in epidural analgesia support role of supraspinal modulation in opioid tolerant patient
 
Creator Widnyana, I Made Gede
Cindryani, Marilaeta
Tanggono, Aninda
 
Subject combined morphine-clonidine adjuvant, supraspinal modulation, opioid tolerant
 
Description ABSTRACT Acute pain patients with complicated pain-related experiences would need more than just a pain reliever, especially those with behavioral opioid usage. Latest findings revolving supraspinal modulation are not only taking experts and pain physician into a different stage of understanding but also making theories and management revisited. A 41-years-old Australian male underwent plate and screw fixation of his right femur. He was overweight with a history of behavioral opioid usage. He was given epidural analgesia for postsurgical management with bupivacaine 0.1% with morphine 2 mg and clonidine 30 mcg every 12 hours as adjuvants. Hemodynamic curves were in normal limits, no paralysis, urinary difficulties, or pruritus. He was discharged on the fourth day. The combined morphine-clonidine adjuvant in epidural analgesia technique was an effective choice to alleviate pain response in this opioid-tolerant patient. 
 
Publisher DiscoverSys Inc.
 
Contributor
 
Date 2019-04-28
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier https://bjoa.balijournals.org/index.php/bjoa/article/view/67
10.15562/bjoa.v3i1.67
 
Source Bali Journal of Anesthesiology; Vol 3, No 1 (2019); 5-7
2549-2276
 
Language eng
 
Relation https://bjoa.balijournals.org/index.php/bjoa/article/view/67/72
https://bjoa.balijournals.org/index.php/bjoa/article/downloadSuppFile/67/16
https://bjoa.balijournals.org/index.php/bjoa/article/downloadSuppFile/67/18
 
Rights Copyright (c) 2019 Aninda Tanggono
 

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