Decreased Postpartum Use of Oral Pain Medication After a Single Dose of Epidural Morphine

Goodman, Stephanie R.; Drachenberg, Ana M.; Johnson, Sally; Negron, Maria A.; Kim-Lo, Susan H.; Smiley, Richard M.

doi:10.1097/00115550-200503000-00004

Cited by 18 publications

(2 citation statements)

References 11 publications

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“…29 -32 In combination with lipophilic opioids and local anesthetic, intrathecal morphine in small doses (0.1-0.3 mg) may prolong or improve labor and postpartum analgesia. [33][34][35][36][37][38] However, side effects (e.g., nausea, vomiting, and pruritus) and concerns for respiratory depression limit neuraxial morphine's role in a labor setting. 39,40 In community hospitals with limited anesthesia services, neuraxial morphine for labor analgesia is still occasionally used.…”

Section: Labor Analgesiamentioning

confidence: 99%

Respiratory Depression After Neuraxial Opioids in the Obstetric Setting

Carvalho

2008

Anesthesia &Amp; Analgesia

131

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Neuraxial opioids have contributed significantly to improved labor and postcesarean delivery analgesia. In the obstetric population, epidural and intrathecal opioids are associated with a very low risk of clinically significant respiratory depression. Although rare, respiratory depression is a serious risk; patients may die or suffer permanent brain damage as a consequence. This review discusses the mechanism and incidence, as well as the prevention, detection, and management of respiratory depression with morphine, extended-release epidural morphine, and lipophilic opioids in the labor and cesarean delivery setting.

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Section: Labor Analgesiamentioning

confidence: 99%

Respiratory Depression After Neuraxial Opioids in the Obstetric Setting

Carvalho

2008

Anesthesia &Amp; Analgesia

131

View full text Add to dashboard Cite

show abstract

“…In addition to these two types of pain, there are also four dimensions: sensory, affective, cognitive, and behavioral (Ahles, Blanchard, & Ruckdeschel, ). The main focus of postpartum research has been the sensory dimension of pain, centering on pain intensity and location, primarily through the use of the Visual Analogue Scale (VAS) or a similar instrument (Goodman et al., ; Gustafsson & Nilsson‐Wikmar, ). Only two research teams examined the affective dimension of pain with a formal instrument (Dodd, Hedayati, Pearce, Hotham, & Crowther, ; Kindberg, Stehouwer, Hvidman, & Henriksen, ).…”

Section: Introductionmentioning

confidence: 99%