Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/35678
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dc.contributor.authorLim, P.-
dc.contributor.authorMacintyre, P.-
dc.date.issued2006-
dc.identifier.citationAnaesthesia and Intensive Care, 2006; 34(6):776-781-
dc.identifier.issn0310-057X-
dc.identifier.issn1448-0271-
dc.identifier.urihttp://hdl.handle.net/2440/35678-
dc.descriptionPublisher's copy made available with the permission of the publisher © Australian Society of Anaesthetists-
dc.description.abstractWe 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.-
dc.description.statementofresponsibilityP. C. Lim, P. E. MacIntyre-
dc.description.urihttp://www.aaic.net.au/Article.asp?D=2005146-
dc.language.isoen-
dc.publisherAustralian Soc Anaesthetists-
dc.subjectHumans-
dc.subjectRespiration Disorders-
dc.subjectPain, Postoperative-
dc.subjectMorphine-
dc.subjectAnalgesics, Opioid-
dc.subjectAnesthesia, Spinal-
dc.subjectRetrospective Studies-
dc.subjectDrug Tolerance-
dc.subjectAdult-
dc.subjectAged-
dc.subjectMiddle Aged-
dc.subjectIntensive Care Units-
dc.subjectMedical Audit-
dc.subjectAustralia-
dc.subjectFemale-
dc.subjectMale-
dc.titleAn audit of intrathecal morphine analgesia for non-obstetric postsurgical patients in an adult tertiary hospital-
dc.typeJournal article-
dc.identifier.doi10.1177/0310057x0603400601-
pubs.publication-statusPublished-
dc.identifier.orcidMacintyre, P. [0000-0002-1569-8056]-
Appears in Collections:Anaesthesia and Intensive Care publications
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