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Therapeutic and Diagnostic Uses of Morphine Epidurals in the Management of Pain

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Summary

467 patients were examined for the epidural effects of morphine. Long term relief can be achieved in chronic and perioperative pain conditions. It was observed that the pain diagnosed by a somatic origin was controlled by epidural morphine with no side effects. In contrast, deafferentation pain was only poorly controlled and was commonly associated with untoward side effects. Treatment of pain thought to be of a psychogenic origin with epidural morphine was unsuccessful and usually unaccompanied by side effects. These results suggest the use of epidural opiates as a prognostic tool in diagnosing the origin of various pain syndromes.

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Authors
  1. J. M. Farcot
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  2. B. Laugner
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  3. A. Muller
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Editor information

Editors and Affiliations

  1. Depts. of Neurologic Surgery and Pharmacology, Mayo Foundation, Rochester, MN, 55905, USA

    Tony L. Yaksh MD

  2. Dept. of Anesthesiology and Intensive Care Medicine, Justus Liebig University, Klinikstr. 29, D-6300, Giessen, Federal Republic of Germany

    Hermann Müller

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© 1982 Springer-Verlag Berlin Heidelberg

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Farcot, J.M., Laugner, B., Muller, A. (1982). Therapeutic and Diagnostic Uses of Morphine Epidurals in the Management of Pain. In: Yaksh, T.L., Müller, H. (eds) Spinal Opiate Analgesia. Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine, vol 144. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68261-2_8

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  • DOI: https://doi.org/10.1007/978-3-642-68261-2_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-11036-1

  • Online ISBN: 978-3-642-68261-2

  • eBook Packages: Springer Book Archive

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