<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032025000200076</article-id>
<article-id pub-id-type="doi">10.35366/119198</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de la efectividad de morfina intratecal en analgesia postoperatoria en pacientes histerectomizadas]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of the effectiveness of intrathecal morphine in postoperative analgesia in hysterectomized patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morelo-Lora]]></surname>
<given-names><![CDATA[Uriel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Armas-Pedrosa]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paz-Estrada]]></surname>
<given-names><![CDATA[Carlos de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pías-Solís]]></surname>
<given-names><![CDATA[Sarah]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario «Manuel Ascunce Domenech»  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico «Eduardo Agramonte Piña»  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Pediátrico «Eduardo Agramonte Piña»  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Pediátrico «Eduardo Agramonte Piña»  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>48</volume>
<numero>2</numero>
<fpage>76</fpage>
<lpage>79</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032025000200076&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032025000200076&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032025000200076&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  evaluar la calidad analgésica de la morfina intratecal a diferentes dosis en el postoperatorio.  Material y métodos:  se utilizó una muestra de 50 pacientes histerectomizadas divididas en dos grupos a doble ciego, utilizando bupivacaína al 0.5% 10 mg más morfina, a dos dosis diferentes de 0.3 y 0.5 mg, donde la edad predominante de las pacientes fue de más de 40 años, una clasificación del estado funcional de la ASA del grupo II, la presencia de comorbilidades principalmente hipertensión arterial en un elevado número de pacientes, aunque compensada.  Resultados:  los efectos adversos encontrados fueron náuseas, vómitos y prurito ligero; los cuales predominaron en el grupo II. Sin embargo, las pacientes de este grupo mostraron mejor calidad del dolor, menor uso de analgesia para rescate en el postoperatorio y mayor grado de satisfacción, por lo que la dosis empleada en ellas fue la más efectiva.  Conclusiones:  los resultados de esta investigación permiten el empleo de la morfina intratecal como método anestésico en las histerectomías para el control del dolor postoperatorio a las dosis señaladas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  to evaluate the analgesic quality of intrathecal morphine at different postoperative doses.  Material and methods:  a sample of 50 hysterectomy patients divided into two double-blind groups was used, using bupivacaine at 0.5% 10 mg plus morphine, at two different doses of 0.3 and 0.5 mg, where the predominant age of the patients was more than 40 years, a classification of the functional status of group II ASA, the presence of co-morbidities mainly hypertension in a high number of patients although compensated.  Results:  the adverse effects found were nausea, vomiting and light pruritus; which predominated in group II. However, the patients in this group showed better pain quality, less use of analgesia for rescue in the postoperative period and a higher degree of satisfaction, so the dose used in them was the most effective.  Conclusions:  the results of this research allow the use of intrathecal morphine as an anesthetic method in hysterectomies to control postoperative pain at the indicated doses.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bupivacaína/morfina]]></kwd>
<kwd lng="es"><![CDATA[efectos adversos]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[escala visual del dolor]]></kwd>
<kwd lng="en"><![CDATA[bupivacaine/morphine]]></kwd>
<kwd lng="en"><![CDATA[adverse effects]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[visual pain scale]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Primavesi]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morfina peridural: analgésico pós-operatório]]></article-title>
<source><![CDATA[Braz J Anesthesiol]]></source>
<year>1986</year>
<volume>36</volume>
<page-range>299-302</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fascio]]></surname>
<given-names><![CDATA[MN]]></given-names>
</name>
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Injeção peridural de morfina no tratamento da dor]]></article-title>
<source><![CDATA[Braz J Anesthesiol]]></source>
<year>1980</year>
<volume>30</volume>
<page-range>255-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nocite]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Cagnolati]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morfina peridural no controle da dor pós-operatória]]></article-title>
<source><![CDATA[Braz J Anesthesiol]]></source>
<year>1982</year>
<volume>32</volume>
<page-range>57-64</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nocite]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Nuñez]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bloqueo subaracnoideo con bupivacaína pesada a 0,5%: efeito da adição de morfina à solução]]></article-title>
<source><![CDATA[Braz J Anesthesiol]]></source>
<year>1985</year>
<volume>35</volume>
<page-range>S23-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hysterectomy for benign conditions of the uterus: total abdominal hysterectomy]]></article-title>
<source><![CDATA[Obstet Gynecol Clin North Am]]></source>
<year>2016</year>
<volume>43</volume>
<page-range>431-40</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rahman]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gupta]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Manyonda]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hysterectomy for benign gynaecological disease]]></article-title>
<source><![CDATA[Obstet Gynaecol Reprod Med]]></source>
<year>2017</year>
<volume>27</volume>
<page-range>125-31</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pynna]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Vuorela]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lodenius]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Paavonen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Roine]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Rasanen]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cost-effectiveness of hysterectomy for benign gynecological conditions: a systematic review]]></article-title>
<source><![CDATA[Acta Obstet Gynecol Scand]]></source>
<year>2014</year>
<volume>93</volume>
<page-range>225-32</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García-Montes]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Lizcano-Contreras]]></surname>
<given-names><![CDATA[CT]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez-Hernández]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Sánchez]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Vallejo-Agudelo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efectividad analgésica de clonidina vs. morfina como coadyuvantes de la anestesia espinal con bupivacaína hiperbárica en pacientes sometidas a cesárea]]></article-title>
<source><![CDATA[Rev Soc Esp Dolor]]></source>
<year>2018</year>
<volume>25</volume>
<page-range>207-13</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Herrera Gómez]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Garzón]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Opiáceos intratecales y depresión respiratoria ¿Un mito en obstetricia?]]></article-title>
<source><![CDATA[Rev Colomb Anestesiol]]></source>
<year>2015</year>
<volume>43</volume>
<page-range>101-3</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Osorio-Gutiérrez]]></surname>
<given-names><![CDATA[CI]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz-Gómez]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Valencia-Ríosa]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Arango-Gómez]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparación de mezcla de opioides subaracnoideos para cesárea. Estudio observacional]]></article-title>
<source><![CDATA[Rev Colomb Anestesiol]]></source>
<year>2021</year>
<volume>49</volume>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blanton]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Lamvu]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Patanwala]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Barron]]></surname>
<given-names><![CDATA[KI]]></given-names>
</name>
<name>
<surname><![CDATA[Witzeman]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Tu]]></surname>
<given-names><![CDATA[FF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Non-opioid pain management in benign minimally invasive hysterectomy: A systematic review]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2017</year>
<volume>216</volume>
<page-range>557-67</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[VK]]></given-names>
</name>
<name>
<surname><![CDATA[Cazull]]></surname>
<given-names><![CDATA[II]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación económica del tratamiento antimicrobiano en pacientes histerectomizadas por fibroma uterino]]></article-title>
<source><![CDATA[Rev Chil Obstet Ginecol]]></source>
<year>2015</year>
<volume>80</volume>
<page-range>434-41</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
