Duramorph C Section

Usually dose ranging studies have evaluated one or two small doses of it morphine as the sole analgesic for 24 h after cesarean section 1 3 7.

Duramorph c section. 100 asa physical status i and ii term parturients undergoing cesarean delivery with spinal anesthesia in. I inject the whole solution together for the block before the c section. Duramorph morphine injection is a systemic narcoticanalgesicfor administration by the intravenous epiduralor intrathecal routes.

Duramorph contains morphine a schedule ii controlled substance. So for example i use 1 6 mls of 75 marcaine 7 5 mg ml and add 25 to 3 mg of morphine to that. It is used for the management of pain not responsive to non narcotic analgesics.

A few studies have compared several small doses of it morphine combined with iv morphine and patient controlled analgesia pca 8 9. Epidural morphine was evaluated for the control of postoperative pain after cesarean section cs. The best advice for recovery is to begin to move as quickly as you can.

To 10 12 breaths per minute 2 reduced oxygen saturation e g. Donchin y davidson jt magora f. Duramorph should be administered by or under the direction of a physician experienced in the techniques of epidural or intrathecal administration and familiar with the patient management problems associated with epidural or intrathecal drug administration and the labeling and should take place only in settings where adequate patient monitoring is possible.

Remember to begin to do this early and frequently. Pain redness or swelling at the. It s preservative free and is added to the local anesthetic for the spinal block.

Of these 40 were given a single dose of 4 mg of morphine through an epidural. The first few days post c section. Neuraxial opioid analgesia refers to the epidural or spinal administration of opioids including single injection continuous or intermittent infusion and patient controlled analgesia for these guidelines respiratory depression may be indicated by 1 reduced respiratory rate e g.