Safety and side-effect profile of intrathecal morphine in a diverse patient population undergoing total knee and hip arthroplasty.


Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037

Informations de publication

Date de publication:
Jan 2019
Historique:
received: 05 06 2018
accepted: 03 08 2018
pubmed: 15 8 2018
medline: 3 5 2019
entrez: 15 8 2018
Statut: ppublish

Résumé

Intrathecal morphine (ITM) can be useful for postoperative analgesia following lower extremity joint arthroplasty, but concerns exist regarding potential dose-related side effects. In this study, we examined the safety and efficacy of ITM in patients undergoing lower extremity joint arthroplasty. We hypothesized that there would be (1) direct relationship between dosing and side effects, and (2) an inverse relationship between ITM dosing and 24-hour postoperative opioid requirement.

Identifiants

pubmed: 30105593
doi: 10.1007/s00590-018-2293-9
pii: 10.1007/s00590-018-2293-9
doi:

Substances chimiques

Analgesics, Opioid 0
Morphine 76I7G6D29C

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

125-129

Subventions

Organisme : National Institutes of Health
ID : UL1TR000058

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Auteurs

Shane R Hess (SR)

Department of Orthopedics, Center for Orthopedic Research and Education, The CORE Institute, 18444 N. 25th Ave, Phoenix, AZ, 85023, USA. drshane33@gmail.com.

Laura A Lahaye (LA)

Department of Anesthesiology, Virginia Commonwealth University, Richmond, VA, USA.

Andrew C Waligora (AC)

Greater Pittsburgh Orthopaedic Associates, Pittsburgh, PA, USA.

Adam P Sima (AP)

Department of Biostatistics, Virginia Commonwealth University, Richmond, VA, USA.

William A Jiranek (WA)

Duke University Medical Center, Durham, NC, USA.

Gregory J Golladay (GJ)

Department of Orthopaedic Surgery, Virginia Commonwealth University Medical Center, Richmond, VA, USA.

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Classifications MeSH