An audit of intrathecal morphine analgesia for non-obstetric postsurgical patients in an adult tertiary hospital

Anaesthesia and Intensive Care

Volumn 34, Issue 6, 2006, Pages 776-781

  Lim, P C ^a   MacIntyre, P E ^b  

^a QUEEN ELIZABETH HOSPITAL   (Australia)

^b UNIVERSITY OF ADELAIDE   (Australia)

Author keywords

Adult; Elderly; Intrathecal; Morphine; Respiratory depression; Sedation

Indexed keywords

AMITRIPTYLINE; BUPIVACAINE; FENTANYL; KETAMINE; METHADONE; MORPHINE; NALOXONE; OXYCODONE; OXYGEN; PETHIDINE;

ABDOMINAL AORTA ANEURYSM; ADULT; AGED; ARTICLE; BREATHING RATE; CLINICAL TRIAL; COMORBIDITY; DRUG EFFICACY; DRUG SAFETY; DRUG TOLERANCE; DRUG WITHDRAWAL; FEMALE; HUMAN; INTENSIVE CARE UNIT; LEG AMPUTATION; LEG ISCHEMIA; LEG PAIN; MAJOR CLINICAL STUDY; MALE; MEDICAL AUDIT; MEDICAL RECORD; NAUSEA; OXYGEN THERAPY; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; POSTOPERATIVE ANALGESIA; POSTOPERATIVE HEMORRHAGE; POSTOPERATIVE PAIN; PRURITUS; RESPIRATION DEPRESSION; SLOW RELEASE FORMULATION; SURGICAL PATIENT; VOMITING;

EID: 33845898706     PISSN: 0310057X     EISSN: None     Source Type: Journal    
DOI: 10.1177/0310057x0603400601     Document Type: Article

References (16)

1. Wang JK, Nauss LA, Thomas JE. Pain relief by intrathecally applied morphine in man. Anesthesiology 1979; 50:149-151.
2. Gustafsson LL, Schildt B, Jacobsen K. Adverse effects of extradural and intrathecal opiates: report of a nationwide survey in Sweden. Br J Anaesth 1982; 54:479-486.
3. Glynn CJ, Mather LE, Cousins MJ, Wilson PR, Graham JR. Spinal narcotics and respiratory depression. Lancet 1979; 2:356-357.
4. Katz J, Nelson W. Intrathecal morphine for postoperative pain relief. Reg Anesth 1981; 6:1-3.
5. Milner AR, Bogod DG, Harwood RJ. Intrathecal administration of morphine for elective Caesarean section: a comparison between 0.1 mg and 0.2 mg. Anaesthesia 1996; 51:871-873.
6. Palmer CM, Emerson S, Volgoropoulos D, Alves D. Dose-response relationship of intrathecal morphine for postcesarean analgesia. Anesthesiology 1999; 90:437-444.
7. Gwirtz KH, Young JV, Byers RS et al. The safety and efficacy of intrathecal opioid analgesia for acute postoperative pain: seven years' experience with 5969 surgical patients at Indiana University Hospital. Anesth Analg 1999; 88:599-604.
8. Murphy PM, Stack D, Kinirons B, Laffey JG. Optimizing the dose of intrathecal morphine in older patients undergoing hip arthroplasty. Anesth Analg 2003; 97:1709-1715.
9. Slappendel R, Weber EW, Dirksen R, Gielon MJ, van Limbeelu J. Optimization of the dose of intrathecal morphine in total hip surgery: a dose-finding study. Anesth Analg 1999; 88:822-826.
10. Cousins MJ, Mather LE. Intrathecal and epidural administration of opioids. Anesthesiology 1984; 61:276-310.
11. Vercauteren M, Vereecken M, La Malfa M, Coppejans H, Adriaensen H. Cost-effectiveness of analgesia after Caesarean section. A comparison of intrathecal morphine and epidural PCA. Acta Anaesthesiol Scand 2002; 46:85-89.
12. Weber EW, Slappendel R, Gielen MJ, Dirksen R. Intrathecal addition of morphine to bupivacaine is not the cause of postoperative nausea and vomiting. Reg Anesth Pain Med 1998; 23:81-86.
13. Hoffman VL, Vermeyen KM, Adriaensen HF, Meert TF. Effects of NMDA receptor antagonists on opioid-induced respiratory depression and acute antinociception in rats. Pharmacol Biochem Behav 2003; 74:933-941.
14. Bailey PL, Rhondeau S, Schafer PG et al. Dose-response pharmacology of intrathecal morphine in human volunteers. Anesthesiology 1993; 79:49-59.
15. Cole PJ, Craske DA, Wheatley RG. Efficacy and respiratory effects of low-dose spinal morphine for postoperative analgesia following knee arthroplasty. Br J Anaesth 2000; 85:233-237.
16. Macintyre PE, Ready LB. Acute pain management. A practical guide. 2nd edition. W.B. Saunders, UK 2001; 20-23.