Comparison of Side Effects of Morphine and Hydromorphone Patient-Controlled Analgesia (PCA)
Both morphine and hydromorphone are pain medications commonly used after surgery. It is
thought at our institution that hydromorphone causes less side effects but this has not been
studied. We propose to treat our patients with either morphine or hydromorphone and
determine how much nausea, vomiting, and itching they have with each drug
In previous studies the investigators have seen that the severity of pain one day after
cesarean delivery can predict the presence of pain and depression 2 months later. The
investigators believe those at risk for severe acute post-partum pain can be identified, and
medical interventions can be tailored to manage postoperative pain more effectively.
Epidural Morphine Versus Epidural Fentanyl Infusion Following Cesarean Section
Goodman, Evan, M.D.
For post-Cesarean analgesia, the investigators will compare the efficacy of single-shot
epidural preservative free morphine with a continuous epidural fentanyl infusion. The
investigators will be comparing the patient's pain level and satisfaction with the two
techniques, as well as the side effects that the patients experience, such as itching,
nausea, back pain and respiratory depression.
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