Morphine 3-4 mg is the dose used for Cancer pain. Morphine is physiologically very good for the heart. So, I gradually increased the usage of Morphine in cardiac Anaesthesia. Contrary to what people say, even with 3-4 mg/kg dose and 8 mg pancuronium ( as relaxant ) patients are easily extubated at 6-8 hours. They are not drowsy, doing spirometer painlessly. They are very comfortable, 100 % painless with Diclofenac/ Ibuprofen bd. I used prophylactic Ranitidine and Metoclopramide bd on first Post op day to prevent nausea vomiting.
Sternotomy pain usually troubles patients for 1 month, when Fentanyl was used. With Morphine this chronic pain is not there. Cardiologist and Cardiac surgeon appreciated this. Cardiovascular stability is very good. Very less requirement of Dopamine/ NTG. Often Dopamine/ NTG are not required. I request all cardiac anesthesia people to try this or at least…
