Intrathecal morphine provides effective and safe analgesia in children after cardiac surgery

Acta Anaesthesiologica Scandinavica

Volumn 48, Issue 7, 2004, Pages 875-882

  Suominen, Pertti K ^a,b   Ragg, P G ^a   Mckinley, D F ^a   Frawley, G ^a   But, W W ^a   Eyres, R L ^a  

^a ROYAL CHILDREN'S HOSPITAL   (Australia)

^b HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

Author keywords

Cardiac analgesic assessment scale; Cardiac surgery; Children; Intrathecal morphine; Post operative pain

Indexed keywords

DIAZEPAM; DOBUTAMINE; DOPAMINE; FENTANYL; GLYCERYL TRINITRATE; ISOFLURANE; MIDAZOLAM; MORPHINE; PANCURONIUM; PARACETAMOL; VECURONIUM;

ADOLESCENT; ANALGESIA; ARTICLE; CHILD; CLINICAL FEATURE; CLINICAL PROTOCOL; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEMOGRAPHY; DOUBLE BLIND PROCEDURE; DRUG EFFICACY; DRUG SAFETY; EXTUBATION; FEMALE; HEART SURGERY; HUMAN; HUMAN CELL; HUMAN TISSUE; INCIDENCE; INFANT; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; OBSERVER VARIATION; PAIN; PAIN ASSESSMENT; PEDIATRIC SURGERY; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZATION; RANDOMIZED CONTROLLED TRIAL; SIDE EFFECT; STATISTICAL SIGNIFICANCE; STERNOTOMY;

ADOLESCENT; CARDIAC SURGICAL PROCEDURES; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; MALE; MORPHINE; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES;

EID: 3342932996     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.0001-5172.2004.00449.x     Document Type: Article

References (20)

1. Tobias JD, Desphane JK, Wetzel RC, Facker J, Maxvell LG, Solca M et al. Postoperative analgesia. Use of intrathecal morphine in children. Clin Pediatr (Phila) 1990; 29: 44-8.
2. Cousins MJ, Mather LE. Intrathecal and epidural administration of opiates. Anesthesiology 1984; 61: 276-310.
3. Stoelting RK. Intrathecal morphine - An under used combination for postoperative pain management. Anaesth Analg 1989; 68: 707-9.
4. Bailey BL, Rhondeau S, Schafer PG, Lu JK, Timmins BS, Foster W et al. Dose-response pharmacology of intrathecal morphine in human volunteers. Anesthesiology 1993; 79: 49-59.
5. Chaney MA, Smith KR, Barclay JC, Slogoff S. Large-dose intrathecal morphine for coronary artery bybass grafting. Anesth Analg 1996; 83: 215-22.
6. Hall R, Adderley N, MacLaren C, McIntyre A, Barker R, Imrie D et al. Does intrathecal morphine alter the stress response following coronary artery bypass grafting surgery? Can J Anesth 2000; 47: 463-6.
7. Goodarzi M. The advantages of intrathecal opioids for spinal fusion in children. Paediatr Anaesth 1998; 8: 131-4.
8. Jones SEF, Beasley JM, MacFarlane DWR, Davis JM, Hall-Davies G et al. Intrathecal morphine for postoperative pain relief in children. Br J Anesth 1984; 56: 137-40.
9. Finkel JC, Boltz MG, Conran AM. Haemodynamic changes during high spinal anaesthesia in children having open heart surgery. Paediatr Anaesth 2003; 13: 48-52.
10. Nichols DG, Yaster M, Lynn AM, Helfaer MA, Despande RK, Manson PN et al. Disposition and respiratory effects of intrathecal morphine in children. Anaesthesiology 1993; 79: 733-8.
11. Gall O, Aubineau J-V, Berniere J, Desjaux L, Murat I. Analgesic effect of low-dose intrathecal morphine after spinal fusion in children. Anaesthesiology 2001; 94: 447-52.
12. Moore RS. Preoperative evaluation and preparation of the pediatric patient with cardiac disease. In: Lake CL, ed. Pediatric Cardiac Anaesthesia. Stamford: Appleton & Lange, 1997: 96-122.
13. Suominen P, Caffin C, Linton S, McKindley D, Ragg P, Eyres R et al. The Cardiac Analgesic Assessment Scale (CAAS): a pain assessment tool for intubated and ventilated children after cardiac surgery. Paediatr Anaesth 2004 ; 14: 336-43.
14. Vanstrum GS, Bjornson KM, Ilko R. Postoperative effect of intrathecal morphine in coronary bypass surgery. Anesth Analg 1988; 67: 261-7.
15. Frizpatrick GJ, Moriarty DC. Intrathecal morphine in management of pain following cardiac surgery: a comparison with morphine intravenous. Br J Anaesth 1988; 60: 639-44.
16. Chaney MA, Furry PA, Fluder EM, Slogoff S. Intrathecal morphine for coronary artery bybass grafting and early extubation. Anesth Analg 1997; 84: 241-8.
17. Vandermeulen EP, Van Aken H, Vermylen J. Anticoagulants and spinal-epidural anesthesia. Anesth Analg 1994; 79: 1165-71.
18. Mason N, Gondret R, Junca A, Bonnet F. Intrathecal sufentanil and morphine for post-thoracotomy pain relief. Br J Anaesth 2001; 86: 236-40.
19. Guinard JP, Mavrocordatos P, Chiolero R, Carpenter RL. A randomized comparison of intravenous versus lumbar and thoracic epidural fentanyl for analgesia after thoracotomy. Anaesthesiology 1992; 77: 1108-15.
20. De Jonghe B, Cook D, Appere-De-Vecchi C, Guyart G, Meade M, Outin H. Using and understanding sedation scoring systems: asystematic review. Intensive Care Med 2000; 26: 275-85.