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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Main Authors: Annette Rebel, Paul Sloan, Michael Andrykowski
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2011/691712
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author Annette Rebel
Paul Sloan
Michael Andrykowski
author_facet Annette Rebel
Paul Sloan
Michael Andrykowski
author_sort Annette Rebel
collection DOAJ
description 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.
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spelling doaj-art-6b4b3ce25e0f4df589b451c1066ee83e2025-08-20T02:23:59ZengWileyPain Research and Management1203-67652011-01-01161192610.1155/2011/691712Retrospective Analysis of High-Dose Intrathecal Morphine for Analgesia after Pelvic SurgeryAnnette Rebel0Paul Sloan1Michael Andrykowski2Department of Anesthesiology, University of Kentucky Medical Center, Lexington, USADepartment of Anesthesiology, University of Kentucky Medical Center, Lexington, USADepartment of Behavioral Sciences, University of Kentucky Medical Center, Lexington, Kentucky, USABACKGROUND: 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.http://dx.doi.org/10.1155/2011/691712
spellingShingle Annette Rebel
Paul Sloan
Michael Andrykowski
Retrospective Analysis of High-Dose Intrathecal Morphine for Analgesia after Pelvic Surgery
Pain Research and Management
title Retrospective Analysis of High-Dose Intrathecal Morphine for Analgesia after Pelvic Surgery
title_full Retrospective Analysis of High-Dose Intrathecal Morphine for Analgesia after Pelvic Surgery
title_fullStr Retrospective Analysis of High-Dose Intrathecal Morphine for Analgesia after Pelvic Surgery
title_full_unstemmed Retrospective Analysis of High-Dose Intrathecal Morphine for Analgesia after Pelvic Surgery
title_short Retrospective Analysis of High-Dose Intrathecal Morphine for Analgesia after Pelvic Surgery
title_sort retrospective analysis of high dose intrathecal morphine for analgesia after pelvic surgery
url http://dx.doi.org/10.1155/2011/691712
work_keys_str_mv AT annetterebel retrospectiveanalysisofhighdoseintrathecalmorphineforanalgesiaafterpelvicsurgery
AT paulsloan retrospectiveanalysisofhighdoseintrathecalmorphineforanalgesiaafterpelvicsurgery
AT michaelandrykowski retrospectiveanalysisofhighdoseintrathecalmorphineforanalgesiaafterpelvicsurgery