The effects of three graded doses of meperidine for spinal anesthesia in African men.

Author: HansenD, HansenS

Paper Details 
Original Abstract of the Article :
The intrathecal injection of 0.7-1 mg/kg meperidine provides spinal anesthesia of only short duration. In this study, we investigated the effects of three different doses of meperidine for spinal anesthesia on the duration and level of sensory block and the incidence of side effects. Forty-five Afri...See full text at original site
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引用元:
https://doi.org/10.1097/00000539-199904000-00027

データ提供:米国国立医学図書館(NLM)

Meperidine for Spinal Anesthesia: Finding the Optimal Dose

Spinal anesthesia, a technique used to numb a specific area of the body, often relies on local anesthetics. This study investigates the use of meperidine, an opioid analgesic, for spinal anesthesia, exploring the effects of different doses on the duration and level of sensory block. The researchers conducted a study on 45 African men, randomly assigning them to receive one of three doses of meperidine.

The researchers discovered that increasing the dose of meperidine from 1.2 to 1.5 mg/kg significantly prolonged the duration of sensory block. However, further increasing the dose to 1.8 mg/kg did not lead to further prolongation. The study also found that meperidine administration was associated with common side effects such as fatigue, pruritus, and nausea. Notably, respiratory depression and decreases in systolic arterial blood pressure (SAP) were observed in some patients.

Balancing Pain Relief and Safety

This research provides valuable insights into the use of meperidine for spinal anesthesia, highlighting the importance of finding the optimal dose to maximize pain relief while minimizing side effects. The study's findings suggest that a dose of 1.5 mg/kg may provide adequate pain relief with a reasonable risk profile. However, it is crucial to carefully monitor patients for potential side effects, especially respiratory depression and hypotension.

Navigating the Desert of Pain Management

This study is a reminder that the desert of pain management is complex and requires careful navigation. While medications can provide relief, it is important to understand their potential side effects and choose the most appropriate approach for each individual. By carefully considering the risks and benefits, we can optimize pain management strategies and ensure the safety and well-being of our patients.

Dr.Camel's Conclusion

This research is like a camel caravan crossing the desert, seeking the perfect balance between speed and safety. The optimal dose of meperidine for spinal anesthesia is a delicate balance, requiring careful consideration of both pain relief and potential side effects.

Date :
  1. Date Completed 1999-04-14
  2. Date Revised 2022-12-07
Further Info :

Pubmed ID

10195532

DOI: Digital Object Identifier

10.1097/00000539-199904000-00027

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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