{"id":"https://openalex.org/W1970973333","doi":"https://doi.org/10.1097/00000542-198904000-00005","title":"A Comparison of Morphine, Meperidine, and Oxymorphone as Utilized in Patient-controlled Analgesia Following Cesarean Delivery","display_name":"A Comparison of Morphine, Meperidine, and Oxymorphone as Utilized in Patient-controlled Analgesia Following Cesarean Delivery","publication_year":1989,"publication_date":"1989-04-01","ids":{"openalex":"https://openalex.org/W1970973333","doi":"https://doi.org/10.1097/00000542-198904000-00005","mag":"1970973333","pmid":"https://pubmed.ncbi.nlm.nih.gov/2467588"},"language":"en","primary_location":{"id":"doi:10.1097/00000542-198904000-00005","doi":"https://doi.org/10.1097/00000542-198904000-00005","is_oa":true,"landing_page_url":"https://doi.org/10.1097/00000542-198904000-00005","pdf_url":"https://pubs.asahq.org/anesthesiology/article-pdf/70/4/585/317932/0000542-198904000-00005.pdf","source":{"id":"https://openalex.org/S124035732","display_name":"Anesthesiology","issn_l":"0003-3022","issn":["0003-3022","1528-1175"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anesthesiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://pubs.asahq.org/anesthesiology/article-pdf/70/4/585/317932/0000542-198904000-00005.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075385986","display_name":"Raymond S. Sinatra","orcid":"https://orcid.org/0000-0002-0131-9879","observed_orcids":["https://orcid.org/0000-0002-0131-9879"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Raymond\u00a0S. Sinatra","raw_affiliation_strings":["Assistant Professor of Anesthesiology","Department of Anesthesiology, Yale University, School of Medicine, New Haven, Connecticut 06510"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor of Anesthesiology","institution_ids":[]},{"raw_affiliation_string":"Department of Anesthesiology, Yale University, School of Medicine, New Haven, Connecticut 06510","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075248494","display_name":"Kevin Lodge","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kevin Lodge","raw_affiliation_strings":["Clinical Fellow in Anesthesiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Fellow in Anesthesiology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079472149","display_name":"Karen S. Sibert","orcid":"https://orcid.org/0000-0001-5048-7572","observed_orcids":["https://orcid.org/0000-0001-5048-7572"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Karen Sibert","raw_affiliation_strings":["Clinical Fellow in Anesthesiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Fellow in Anesthesiology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083968576","display_name":"Keun Sam Chung","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Keun\u00a0Sam Chung","raw_affiliation_strings":["Assistant Professor of Anesthesiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor of Anesthesiology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089405020","display_name":"J. H. Chung","orcid":"https://orcid.org/0000-0003-4869-7874","observed_orcids":["https://orcid.org/0000-0003-4869-7874"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"James\u00a0H. Chung","raw_affiliation_strings":["Assistant Professor of Anesthesiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor of Anesthesiology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027882710","display_name":"A. Parker","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Autry Parker","raw_affiliation_strings":["Clinical Investigator in Anesthesiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Investigator in Anesthesiology","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103530216","display_name":"Deborah M. Harrison","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Deborah\u00a0M. Harrison","raw_affiliation_strings":["Assistant Professor of Anesthesiology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor of Anesthesiology","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.9954,"has_fulltext":false,"cited_by_count":75,"citation_normalized_percentile":{"value":0.88294458,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"70","issue":"4","first_page":"585","last_page":"590"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.5220000147819519,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.5220000147819519,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.4765999913215637,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-controlled-analgesia","display_name":"patient-controlled analgesia","score":0.9549999833106995},{"id":"https://openalex.org/keywords/morphine","display_name":"morphine","score":0.7400000095367432},{"id":"https://openalex.org/keywords/meperidine","display_name":"pethidine","score":1.0},{"id":"https://openalex.org/keywords/oxymorphone","display_name":"oxymorphone","score":0.9990000128746033},{"id":"https://openalex.org/keywords/postoperative-pain","display_name":"postoperative pain","score":0.7820000052452087},{"id":"https://openalex.org/keywords/cesarean-section","display_name":"cesarean section","score":0.9929999709129333},{"id":"https://openalex.org/keywords/epidural-anesthesia","display_name":"epidural anesthesia","score":0.7979999780654907},{"id":"https://openalex.org/keywords/opioid-analgesics","display_name":"opioid analgesics","score":0.9599999785423279},{"id":"https://openalex.org/keywords/nausea-and-vomiting","display_name":"nausea and vomiting","score":0.746999979019165},{"id":"https://openalex.org/keywords/sedation","display_name":"sedation","score":0.9599999785423279},{"id":"https://openalex.org/keywords/pruritus","display_name":"pruritus","score":1.0},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.9120000004768372}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9414427280426025},{"id":"https://openalex.org/C2776316548","wikidata":"https://www.wikidata.org/wiki/Q423380","display_name":"Oxymorphone","level":5,"score":0.8724473714828491},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.8304743766784668},{"id":"https://openalex.org/C2776814716","wikidata":"https://www.wikidata.org/wiki/Q574801","display_name":"Sedation","level":2,"score":0.7744770050048828},{"id":"https://openalex.org/C2780580376","wikidata":"https://www.wikidata.org/wiki/Q186889","display_name":"Nausea","level":2,"score":0.7171523571014404},{"id":"https://openalex.org/C2777389121","wikidata":"https://www.wikidata.org/wiki/Q81225","display_name":"Morphine","level":2,"score":0.6733222007751465},{"id":"https://openalex.org/C2780852908","wikidata":"https://www.wikidata.org/wiki/Q127076","display_name":"Vomiting","level":2,"score":0.6660172939300537},{"id":"https://openalex.org/C2780820201","wikidata":"https://www.wikidata.org/wiki/Q173235","display_name":"Analgesic","level":2,"score":0.65947026014328},{"id":"https://openalex.org/C2775849661","wikidata":"https://www.wikidata.org/wiki/Q940","display_name":"Narcotic","level":2,"score":0.5200502276420593},{"id":"https://openalex.org/C14184104","wikidata":"https://www.wikidata.org/wiki/Q1362526","display_name":"Visual analogue scale","level":2,"score":0.491013765335083},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.4314744770526886},{"id":"https://openalex.org/C2776029756","wikidata":"https://www.wikidata.org/wiki/Q407535","display_name":"Oxycodone","level":4,"score":0.14979508519172668},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09528037905693054},{"id":"https://openalex.org/C170493617","wikidata":"https://www.wikidata.org/wiki/Q208467","display_name":"Receptor","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000767","descriptor_name":"Anesthesia, Epidural","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000773","descriptor_name":"Anesthesia, Obstetrical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002585","descriptor_name":"Cesarean Section","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002986","descriptor_name":"Clinical Trials as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004091","descriptor_name":"Hydromorphone","qualifier_ui":"Q000031","qualifier_name":"analogs & derivatives","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008614","descriptor_name":"Meperidine","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D009020","descriptor_name":"Morphine","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D010111","descriptor_name":"Oxymorphone","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D010149","descriptor_name":"Postoperative Pain","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011897","descriptor_name":"Random Allocation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012646","descriptor_name":"Self Administration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/00000542-198904000-00005","doi":"https://doi.org/10.1097/00000542-198904000-00005","is_oa":true,"landing_page_url":"https://doi.org/10.1097/00000542-198904000-00005","pdf_url":"https://pubs.asahq.org/anesthesiology/article-pdf/70/4/585/317932/0000542-198904000-00005.pdf","source":{"id":"https://openalex.org/S124035732","display_name":"Anesthesiology","issn_l":"0003-3022","issn":["0003-3022","1528-1175"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anesthesiology","raw_type":"journal-article"},{"id":"pmid:2467588","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2467588","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anesthesiology","raw_type":"Clinical Trial"}],"best_oa_location":{"id":"doi:10.1097/00000542-198904000-00005","doi":"https://doi.org/10.1097/00000542-198904000-00005","is_oa":true,"landing_page_url":"https://doi.org/10.1097/00000542-198904000-00005","pdf_url":"https://pubs.asahq.org/anesthesiology/article-pdf/70/4/585/317932/0000542-198904000-00005.pdf","source":{"id":"https://openalex.org/S124035732","display_name":"Anesthesiology","issn_l":"0003-3022","issn":["0003-3022","1528-1175"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anesthesiology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/randomized-controlled-trial","display_name":"Randomized Controlled Trial"},{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1970973333.pdf","grobid_xml":"https://content.openalex.org/works/W1970973333.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1994126626","https://openalex.org/W2038730069","https://openalex.org/W2402569050","https://openalex.org/W2053617765","https://openalex.org/W2053834231","https://openalex.org/W2120792510","https://openalex.org/W2070890420","https://openalex.org/W2065195678","https://openalex.org/W2035287305","https://openalex.org/W1503767200"],"abstract_inverted_index":{"Seventy-five":[0],"patients":[1,43,120,144],"(n":[2],"=":[3],"75)":[4],"undergoing":[5],"elective":[6],"cesarean":[7],"delivery":[8],"during":[9,66,81,148],"epidural":[10],"anesthesia":[11],"were":[12,44,113,180],"randomly":[13],"assigned":[14],"to":[15,46],"receive":[16],"one":[17],"of":[18,30,38,92,97,125,143,167,199,215],"three":[19],"opioid":[20],"analgesics":[21],"via":[22],"patient-controlled":[23],"analgesia":[24,126],"(PCA)":[25],"when":[26],"they":[27],"first":[28],"complained":[29],"pain":[31,76,147,195],"in":[32,109,152],"the":[33,67,90,95,153,164,210],"recovery":[34],"room.":[35],"Following":[36],"administration":[37],"an":[39,122],"analgesic":[40],"loading":[41],"dose,":[42],"allowed":[45],"self-administer":[47],"morphine":[48,202],"1.8":[49],"mg,":[50,53],"meperidine":[51,154,223],"18":[52],"or":[54],"oxymorphone":[55,136,225],"0.3":[56],"mg":[57],"iv":[58],"every":[59],"8":[60],"min":[61],"as":[62],"required.":[63],"Data":[64],"collected":[65],"24-h":[68,110],"observation":[69],"period":[70],"included":[71],"visual":[72],"analog":[73],"scale":[74],"(VAS)":[75],"scores":[77,196],"at":[78,127],"rest":[79,128],"and":[80,94,100,169,178,197,217,224],"movement,":[82],"VAS":[83],"patient":[84,219],"satisfaction":[85,185,220],"scores,":[86],"total":[87],"drug":[88,187],"administered,":[89],"ratio":[91],"attempts/injections,":[93],"incidence":[96,166,214],"nausea/vomiting,":[98],"sedation,":[99,216],"pruritus.":[101],"After":[102],"adjusting":[103],"for":[104],"narcotic":[105],"potency,":[106],"no":[107],"differences":[108],"dose":[111],"requirements":[112],"noted":[114,181],"between":[115],"treatment":[116],"groups":[117],"(NS).":[118],"All":[119],"achieved":[121],"excellent":[123,211],"level":[124],"(NS);":[129],"however,":[130],"onset":[131],"was":[132,150,161],"most":[133],"rapid":[134],"with":[135,163,182,186,193],"(P":[137,156,171],"less":[138,157,172],"than":[139,158,173],"0.05).":[140,159],"The":[141],"percentage":[142],"reporting":[145],"severe":[146],"movement":[149],"highest":[151,165],"group":[155],"Oxymorphone":[160],"associated":[162],"nausea":[168],"vomiting":[170],"0.05),":[174],"whereas":[175],"increased":[176],"sedation":[177],"pruritus":[179],"morphine.":[183],"Patient":[184],"effect":[188],"demonstrated":[189],"significant":[190],"negative":[191],"correlations":[192],"resting":[194],"degree":[198],"sedation.":[200],"Whereas":[201],"is":[203],"a":[204],"more":[205],"commonly":[206],"utilized":[207],"PCA":[208],"analgesic,":[209],"analgesia,":[212],"low":[213],"high":[218],"provided":[221],"by":[222],"suggested":[226],"useful":[227],"alternatives.":[228]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2016-06-24T00:00:00"}
