TY - BOOK AU - Rania Samir Fahmy AU - Badawy Mohamed Alkholy , AU - Mohamed Walid Ahmed Fouad Awad , AU - Mustafa Mohamed Gad Elhak , TI - Preemptive epidural neostigmine morphine versus epidural morphine in lumbar spine surgery : : Comparative study / PY - 2009/// CY - Cairo : PB - Rania Samir Fahmy , KW - Epidural KW - Morphine KW - Preemptive analgesia N1 - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia; Issued also as CD N2 - In this study we examined the effects of preemptive epidural neostigmine morphine versus epidural morphine in lumbar disc surgery. The study showed that combining neostigmine to morphine prolonged the duration of postoperative analgesia without additional side effects. Furthermore adding epidural meostigmine to morphine may decrease incidence of urine retention frequently observed with epidural morphine regarding 1L-6, adding epidural neostigmine to morphine doesn`t significantly decrease its intra and postoperative levels than using morphine only ER -