427088

The use of postoperative intravenous patient-controlled analgesia with low dose versus standard dose Morphine in children undergoing pelvic-abdominal exploration surgery

Article

Last updated: 11 May 2025

Subjects

-

Tags

Surgery ·

Abstract

Background: Patient-controlled analgesia is an effective method used to alleviate pain in children. Morphine is the standard opium-based analgesic used; however, its use is usually associated with adverse effects that may be severe. This study was carried out to evaluate the efficacy and safety of low-dose Morphine in controlling acute pain in children undergoing exploration surgery. Methods: This study was conducted at Beni-Suef University Hospital on 46 patients. The patients were divided randomly into two equal groups: The standard dose morphine group: Which received 0.05 mg morphine /kg/dose, and the low dose morphine group: Which received 0.01 mg morphine /kg/dose. During post-operative follow-up, the pain was assessed using VAS and VRS in addition to POSS sedation score and follow-up of adverse events. Results: There was no significant difference between the groups' mean VAS and VRS pain scores and their categories. However, the side effects of Morphine, like PONV and respiratory depression, were significantly decreased in the low-dose morphine group.  Conclusions: The present study shows that both the low dose and the standard dose of Morphine could effectively control the post-operative pain in patients-controlled analgesia of children undergoing pelvic-abdominal exploration surgeries with a lower incidence of postoperative complications in the low-dose morphine group. 
 

DOI

10.21608/ejmr.2023.207138.1383

Keywords

morphine, PCA, Low dose morphine

Authors

First Name

Mariana

Last Name

Mansour

MiddleName

Abdelsayed

Affiliation

Anesthesiology, surgical intensive care and pain management department Faculty of Medicine, Beni-Suef University Egypt

Email

mrmrsyk4@gmail.com

City

-

Orcid

-

First Name

Arwa

Last Name

Mohamed

MiddleName

Khaled

Affiliation

Anesthesiology, surgical intensive care and pain management department Faculty of Medicine, Beni-Suef University Egypt

Email

waa91288@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

El sharawy

MiddleName

Mostafa

Affiliation

Anesthesiology, surgical intensive care and pain management department Faculty of Medicine, Beni-Suef University Egypt

Email

drshaarawy@gmail.com

City

-

Orcid

-

Volume

6

Article Issue

2

Related Issue

55168

Issue Date

2025-04-01

Receive Date

2023-04-24

Publish Date

2025-04-01

Page Start

63

Page End

77

Print ISSN

2682-4396

Online ISSN

2682-440X

Link

https://ejmr.journals.ekb.eg/article_427088.html

Detail API

http://journals.ekb.eg?_action=service&article_code=427088

Order

427,088

Type

Original Article

Type Code

1,224

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Research

Publication Link

https://ejmr.journals.ekb.eg/

MainTitle

The use of postoperative intravenous patient-controlled analgesia with low dose versus standard dose Morphine in children undergoing pelvic-abdominal exploration surgery

Details

Type

Article

Created At

11 May 2025