Retrospective Analysis of High-Dose Intrathecal Morphine for Analgesia after Pelvic Surgery

BACKGROUND: The effectiveness of intrathecal opioids (ITOs) for postoperative analgesia has been limited by reduced opioid dosing because of opioid-related side effects, most importantly respiratory depression. To overcome these limitations, high-dose intrathecal morphine was combined with a continu...

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Bibliographic Details
Main Authors: Annette Rebel, Paul Sloan, Michael Andrykowski
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2011/691712
Description
Summary:BACKGROUND: The effectiveness of intrathecal opioids (ITOs) for postoperative analgesia has been limited by reduced opioid dosing because of opioid-related side effects, most importantly respiratory depression. To overcome these limitations, high-dose intrathecal morphine was combined with a continuous intravenous (IV) postoperative naloxone infusion. The aim of the present chart analysis was to investigate the safety and efficacy of high-dose ITOs combined with IV naloxone compared with IV opioid analgesia alone.
ISSN:1203-6765