Severe peripheral edema during an outpatient continuous epidural morphine infusion trial in a patient with failed back surgery syndrome

Pain Physician

Volumn 11, Issue 3, 2008, Pages 363-367

  Ruan, Xiulu ^a,c,e   Tadia, Riaz ^b   Couch, J Patrick ^a   Ruan, Jingchun ^c   Chiravuri, Srinivas ^d  

^a Physician's Pain Specialists of Alabama   (United States)

^b UNIVERSITY OF SOUTH ALABAMA   (United States)

^c SHANDONG PROVINCIAL HOSPITAL AFFILIATED TO SHANDONG FIRST MEDICAL UNIVERSITY   (China)

^d UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^e NONE   (United States)

Author keywords

Epidural morphine infusion trial; Failed back surgery syndrome; Intraspinal drug delivery pump; Methadone; Peripheral edema

Indexed keywords

BACLOFEN; FENTANYL; GABAPENTIN; HYDROCODONE BITARTRATE PLUS PARACETAMOL; METHADONE; MORPHINE; OPIATE; OXYCODONE; OXYMORPHONE; STEROID;

ADULT; ARTICLE; BEDTIME DOSAGE; CASE REPORT; COMPRESSION GARMENT; CONSERVATIVE TREATMENT; CONTINUOUS INFUSION; DRUG DOSE ESCALATION; DRUG WITHDRAWAL; ELECTROSTIMULATION THERAPY; EPIDURAL CATHETER; FEMALE; FLUOROSCOPY; HUMAN; HYPERHIDROSIS; INFUSION PUMP; INTERVERTEBRAL DISK DEGENERATION; LEG PAIN; LOW BACK PAIN; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTPATIENT; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; PERIPHERAL EDEMA; PHYSIOTHERAPY; RADICULITIS; RHIZOTOMY; SIDE EFFECT; SPINE FUSION; SPINE SURGERY; VERTEBRAL CANAL STENOSIS; WEIGHT GAIN;

ANALGESIA, EPIDURAL; ANALGESIA, PATIENT-CONTROLLED; EDEMA; FEMALE; HUMANS; LEG INJURIES; MIDDLE AGED; MORPHINE; NARCOTICS; OUTPATIENTS; PAIN, POSTOPERATIVE;

EID: 46949090616     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (28)

1. Krames, E. Intraspinal Analgesia for nonmalignant pain. In: Interventional Pain Management, 2nd Ed. Waldman SD (Ed). W.B. Saunders Co., St. Louis, MO, 2001, pp. 609-619.
2. Raphael JH, Southall JL, Gnanadurai TV, Treharne GI, Kitas GD. Long-term experience with implanted intrathecal drug administration systems for failed back syndrome and mechanical low back pain. BMC Musculoskeletal Disord 2002; 3:17.
3. Deer T, Chapple I, Classen A, Javenry K, Stoker V, Tonder L, Burchiel K. Intrathecal drug delivery for treatment of chronic low back pain: Report from the National Outcomes Registry for Low Back Pain. Pain Med 2004; 5:6-13.
4. Kumar K, Kelly M, Pirlot T. Continuous intrathecal morphine treatment for chronic pain of nonmalignant etiology: Long-term benefits and efficacy. Surg Neurol 2001; 55:79-88.
5. Anderson VC, Burchiel KJ. A prospective study of long-term intrathecal morphine in the management of chronic nonmaligmant pain. Congress of Neurological Surgeons 1999; 44:289-300.
6. Paice JA, Penn RD, Shott S. Intraspinal morphine for chronic pain: A retrospective multicenter study. J Pain Symptom Manage 1996; 11:71-80.
7. Panchal SJ, Rogers J. Suggested guideline: Implantable intrathecal morphine pump trial protocol. Brochure from Codman & Shurtleff. 2002.
8. Pen Du SL, Pen Du A. Tunneled epidural catheters: Practical considerations and implantation techniques. Interventional Pain Management 2001; 60: 627-643.
9. Gardner-Nix J. Opioids causing peripheral edema. J Pain Symptom Manage 2002; 23:453-455.
10. O'Conor LM, Woody G, Yeh HS, Manny I, Dhopesh V. Methadone and edema. J Subst Abuse Treat 1991; 8:153-155.
11. Rosow CE, Moss J, Philbin DM, Savarese JJ. Histamine release during morphine and fentanyl anesthesia. Anesthes 1982; 56:93-96.
12. Flacke JW, Flacke WE, Bloor BC, Van Etten AP, Kripke BJ. Histamine release by four narcotics: A double-blind study in humans. Anesth Analg 1987; 66:723-730.
13. Grossmann M, Abiose A, Tangphao O, Blaschke TF, Hoffman BB. Morphineinduced venodilation in humans. Clin Pharmacol Ther 1996; 60:554-560.
14. Philbin DM, Moss J, Akins CW, Rosow CE, Kono K, Schneider RC, VerLee TR, Savarese JJ. The use of H1 and H2 histamine antagonists with morphine anesthesia: A double-blind study. Anesthes 1981; 55:292-296.
15. De Bodo RC. The antidiuretic action of morphine and its metabolism. J Pharmacol Exp Ther 1944; 82:74-85.
16. Bisset GW Chowdrey HS, Feldberg W. Release of vasopressin by enkephalin. Br J Pharmacol 1978; 62:370-372.
17. Chaney MA. Side Effects of intrathecal and epidural opioids. Con J Anaesth 1995; 42:891-993.
18. Grell S, Christensen JD, Fjalland B. Morphine antidiuresis in conscieous rats: contribution of vasopressin and blood pressure. Acta Pharmacol Taxicol (Copenh) 1985; 56:38-43.
19. Aziz LA, Forsling ML, Woolf CJ. The effect of intracerebroventricular injections of morphine on vasopressin release in rat. J Physiol 1981; 311:401-409.
20. Firemark HM, Weitzman RE. Effects of beta-endormphin, morphine and naloxone on arginine vasopressin secretion and the electroencephalogram. Neuroscience 1979; 4:1895-1902.
21. Walker LA, Murphy JC. Antinatriuretic effect of acute morphine administration in conscious rats. J Pharmacol Exp Ther 1984; 229:404-408.
22. Huidobro-Toro J, Huidobro F. Central effects of morphine, levorphanol, (-)methadone and the opioid-like peptides beta-endorphin and D-alanine2-methionine enkephalinamide on urine volume outflow and electrolytes. J Pharmacol Exp Ther 1981; 217:570-585.
23. Danesh S, Walker L. Effects of central administration of morphine on renal function in conscious rats. J Pharmacol Exp Ther 1988; 244:640-645.
24. Toombs JD, Kral L. Methadone treatment for pain states. American Family Physician 2005; 71:1353-1358.
25. Aldrete JA, Couto DS. Leg edema from intrathecal opiate infusions. Eur J Pain 2000; 4:361-365.
26. Anderson VC, Cooke B, Burchiel KJ. Intrathecal hydromorphone for chronic nonmalignant pain: A retrospective study. Pain Med 2001; 2:287-297.
27. Winkelmuller M, Winkelmuller W. Longterm effects of continuous intrathecal opioid treatment in chronic pain of non-malignant etiology. J Neurosurg 1996; 85:458-467.
28. Ruan X. Drug-related side effects of long-term intrathecal morphine therapy: Focused review. Pain Physician 2007; 10:357-365.