Beneficial Effect of Amantadine on Postoperative Pain Reduction and Consumption of Morphine in Patients Subjected to Elective Spine Surgery

作者: Beata Bujak-Giżycka , Katarzyna Kącka , Maciej Suski , Rafał Olszanecki , Józef Madej

DOI: 10.1111/J.1526-4637.2011.01321.X

关键词:

摘要: Objective.  To analyze the effect of coadministration morphine and amantadine on postoperative pain reduction consumption in patients after elective spine surgery. Methods.  In double-blinded study, 60 (ASA physical status I-II) were randomized into two groups. Group A was given oral 50 or 100 mg 1 hour before surgery 8, 20, 32 hours operation. P received placebo at identical times. Pain assessed using numerical rating scale first administration 2, 3, 4, 6, 24, 48 The amounts consumed recorded up to surgery. Blood samples taken twice 2 plasma levels its main metabolites measured. Results.  As compared with placebo, significantly reduced intra-operative Fentanyl use sensation pain. Up operation, cumulative 25% lower group. Moreover, intensity nausea vomiting tended be Starting from 12th surgery, level sedation who amantadine, as No significant differences ant observed between groups. Conclusions.  Pre- fentanyl during well decreased young undergoing orthopedic

参考文章(23)
J Kornhuber, M Weller, K Schoppmeyer, P Riederer, Amantadine and memantine are NMDA receptor antagonists with neuroprotective properties. Journal of Neural Transmission-supplement. ,vol. 43, pp. 91- 104 ,(1994)
Maciej Suski, Beata Bujak-Gizycka, Jozef Madej, Katarzyna Kacka, Jan Dobrogowski, Jaroslaw Woron, Rafal Olszanecki, Ryszard Korbut, Co‐Administration of Dextromethorphan and Morphine: Reduction of Post‐Operative Pain and Lack of Influence on Morphine Metabolism Basic & Clinical Pharmacology & Toxicology. ,vol. 107, pp. 680- 684 ,(2010) , 10.1111/J.1742-7843.2010.00559.X
Colin J. L. McCartney, Avinash Sinha, Joel Katz, A Qualitative Systematic Review of the Role of N-Methyl-D-Aspartate Receptor Antagonists in Preventive Analgesia Anesthesia & Analgesia. ,vol. 98, pp. 1385- 1400 ,(2004) , 10.1213/01.ANE.0000108501.57073.38
T MEDRIKGOLDBERG, D LIFSCHITZ, D PUD, R ADLER, E EISENBERG, Intravenous lidocaine, amantadine, and placebo in the treatment of sciatica: a double-blind, randomized, controlled study. Regional Anesthesia and Pain Medicine. ,vol. 24, pp. 534- 540 ,(1999) , 10.1016/S1098-7339(99)90045-7
Andrei B. Petrenko, Tomohiro Yamakura, Hiroshi Baba, Koki Shimoji, The role of N-methyl-D-aspartate (NMDA) receptors in pain: a review. Anesthesia & Analgesia. ,vol. 97, pp. 1108- 1116 ,(2003) , 10.1213/01.ANE.0000081061.12235.55
Kumar V.S. Nemmani, Judith E. Grisel, Jennifer R. Stowe, Richard Smith-Carliss, Jeffrey S. Mogil, Modulation of morphine analgesia by site-specific N-methyl-D-aspartate receptor antagonists: dependence on sex, site of antagonism, morphine dose, and time. Pain. ,vol. 109, pp. 274- 283 ,(2004) , 10.1016/J.PAIN.2004.01.035
J. Kornhuber, Kurt Jellinger, Jens Wiltfang, Fritz Leblhuber, Peter Riederer, The N-methyl-D-aspartate receptor channel blocker amantadine does not cause histopathological alterations in human brain tissue. Acta Neuropathologica. ,vol. 98, pp. 85- 90 ,(1999) , 10.1007/S004010051054
Bryan S. Williams, Asokumar Buvanendran, Nonopioid Adjuvants in Multimodal Therapy for Acute Perioperative Pain Advances in Anesthesia. ,vol. 27, pp. 111- 142 ,(2009) , 10.1016/J.AAN.2009.07.008
Evelyne Célèrier, Cyril Rivat, Yan Jun, Jean-Paul Laulin, Agnès Larcher, Patrick Reynier, Guy Simonnet, Long-lasting Hyperalgesia Induced by Fentanyl in Rats: Preventive Effect of Ketamine Anesthesiology. ,vol. 92, pp. 465- 465 ,(2000) , 10.1097/00000542-200002000-00029