Abstract

PRURITUS AFTER INTRATHECAL ANESTHESIA IN PATIENTS UNDERGOING CESAREAN SECTION

Seyed Mohammad Reza Gushe, Alireza Olapour, Ali Ghomeishi, Reza Akhondzadeh, Sara Kohani*

Abstract

Background: Pruritus has been reported after using morphine, especially after cesarean operations. It is very difficult to cure this Pruritus, and responses to its treatment is usually weak. Therefore, this research intended to evaluate pregnant women who underwent elective cesarean operation and received morphine. Material and Method: This study is a randomized clinical trial and Double blind research. The study population comprised of women aged 18 to 45 years with ASA_I undergoing elective cesarean section with intrathecal anesthesia technique. Patients randomly divided into three groups. All three groups were experienced spinal anesthesia with hyperbaric bupivacaine. In case of irritation, its incidence and intensity was measured in 3, 6 and 18 hours after intrathecal injection of morphine. Result: the Pruritus decreased, such that 3 hours after the injection, 39 patients felt Pruritus. But, 6 hours after injection, 28 patients felt Pruritus, and this number 18 hours after injection was reduced to 12 patients. And thus the Pruritus gradually decreased over time. Conclusions: What is evaluated in this study emphasize the use of opioids even with itching. Because over time, the itching is decreased in the group taking the drug and the one that does not receive preventive therapy. However, other researchers are recommended to further investigate this issue through more extensive research.

Keywords: Pruritus, Intrathecal Anesthesia, Cesarean Section.