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https://hdl.handle.net/2440/35678
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Type: | Journal article |
Title: | An audit of intrathecal morphine analgesia for non-obstetric postsurgical patients in an adult tertiary hospital |
Author: | Lim, P. Macintyre, P. |
Citation: | Anaesthesia and Intensive Care, 2006; 34(6):776-781 |
Publisher: | Australian Soc Anaesthetists |
Issue Date: | 2006 |
ISSN: | 0310-057X 1448-0271 |
Statement of Responsibility: | P. C. Lim, P. E. MacIntyre |
Abstract: | We conducted a retrospective audit of adult non-obstetric patients who had received a single dose of intrathecal morphine for postoperative analgesia. These patients were predominantly admitted to a regular postsurgical ward with strict hourly nursing observations, treatment protocols in place and supervision by an Acute Pain Service for the first 24 hours after intrathecal morphine administration. A total of 409 cases were examined for sedation score, incidence of respiratory depression and other side-effects, admission to the high dependency or intensive care unit and opioid-tolerance. Respiratory depression was defined as requiring treatment with naloxone (implying a sedation score of 3 irrespective of respiratory rate), or a sedation score of 2 with a respiratory rate less than six breaths per minute. The patients were predominantly elderly (57.2% were over the age of 70 years) and 84.8% had undergone vascular surgery. Of the total of 409 cases, only one case of respiratory depression was observed. A total of 77 patients were admitted to high dependency or intensive care unit for various reasons including management of postsurgical complications and patient co-morbidities. Our findings suggest that elderly patients who receive intrathecal morphine analgesia can be safely managed in a regular postsurgical ward. |
Keywords: | Humans Respiration Disorders Pain, Postoperative Morphine Analgesics, Opioid Anesthesia, Spinal Retrospective Studies Drug Tolerance Adult Aged Middle Aged Intensive Care Units Medical Audit Australia Female Male |
Description: | Publisher's copy made available with the permission of the publisher © Australian Society of Anaesthetists |
DOI: | 10.1177/0310057x0603400601 |
Description (link): | http://www.aaic.net.au/Article.asp?D=2005146 |
Published version: | http://dx.doi.org/10.1177/0310057x0603400601 |
Appears in Collections: | Anaesthesia and Intensive Care publications Aurora harvest 6 |
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hdl_35678.pdf | 94.49 kB | Publisher's PDF | View/Open |
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