| Present state of extradural and intrathecal opioid analgesia in Sweden. A nationwide follow-up survey. | |
| | |
MedLine Citation:
|
PMID: 2886144 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A nationwide follow-up survey was undertaken to study the use of extradural and intrathecal opioids in the management of pain, to estimate the incidence of delayed ventilatory depression and to study post-injection surveillance routines. A questionnaire was sent to all 93 anaesthetic departments in Sweden; 96% responded. The major indication for using extradural opioids was the treatment of postoperative, traumatic and cancer pain. During 1984 over 14,000 patients received extradural, and over 1100 patients intrathecal, opioids. Morphine was the predominant opioid for extradural administration and was used in 96% of patients. Extradural opioid analgesia constitutes about 25% of all extradural blocks performed in Sweden. Pruritus and urinary retention were considered as minor problems; however, the risk was considerably higher after intrathecal morphine. The incidence of delayed ventilatory depression was about 1:1100 (0.09%) following extradural morphine and 1:275 (0.36%) following intrathecal morphine. Risk factors for delayed ventilatory depression are discussed. Administration of extradural morphine for postoperative pain relief in patients undergoing major surgery is considered a high benefit-low risk technique by most Swedish anaesthetists. The results of the present nationwide survey suggests that, following extradural morphine, surveillance of patients for more than 12 h appears unnecessary. |
| | |
Authors:
|
N Rawal; S Arnér; L L Gustafsson; R Allvin |
Related Documents
:
|
19794994 - Is intravenous patient controlled analgesia enough for pain control in patients who und... 16037184 - Intraoperative fluid restriction improves outcome after major elective gastrointestinal... 19715804 - Repeated intraperitoneal instillation of levobupivacaine for the management of pain aft... 19448234 - Epidural ropivacaine concentrations for intraoperative analgesia during major upper abd... 12774214 - Deep brain stimulation for the treatment of parkinson's disease: the experience of the ... 16413334 - Abdominal plain film in patients admitted with clinical suspicion of renal colic: shoul... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: British journal of anaesthesia Volume: 59 ISSN: 0007-0912 ISO Abbreviation: Br J Anaesth Publication Date: 1987 Jun |
Date Detail:
|
Created Date: 1987-09-24 Completed Date: 1987-09-24 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 791-9 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Analgesics, Opioid / administration & dosage, adverse effects, therapeutic use* Anesthesia Department, Hospital Drug Utilization Follow-Up Studies Health Surveys Humans Injections, Epidural Injections, Spinal Middle Aged Pain / drug therapy* Postoperative Care Pruritus / chemically induced Respiratory Insufficiency / chemically induced Sweden Urination Disorders / chemically induced |
| Chemical | |
Reg. No./Substance:
|
0/Analgesics, Opioid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effects of H-2 antagonists on the elimination of bupivacaine.
Next Document: Biochemical and ultrastructural alterations accompany the anti-proliferative effect of butyrate on m...