Document Detail

Intrathecal diamorphine (heroin) for obstetric analgesia.
MedLine Citation:
PMID:  15636816     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Intrathecal diamorphine (heroin, diacetyl morphine) 2.5 mg in isotonic saline 2.5 ml was given to 13 patients in labour through a 26 gauge Quincke needle. Three patients were given epidural bupivacaine at a mean of 295 min after injection of diamorphine and a further 2 used 50% nitrous oxide during the second stage of labour. Eight patients needed no additional analgesia for labour although 1 received a pudendal nerve block for forceps delivery. No neonatal complications attributable to diamorphine were observed. There was a high incidence of post partum headache (6/13 cases). The use of a Sprotte needle and a fine spinal catheter might overcome the limitations of spinal headache and limited duration of action respectively.
J R Sneyd; M Meyer-Witting
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  1     ISSN:  0959-289X     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  1992 May 
Date Detail:
Created Date:  2005-01-07     Completed Date:  2006-01-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  153-5     Citation Subset:  -    
Department of Anesthesiology, St Helier Hospital, Surrey, UK.
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