Management of acute chest wall sickle cell pain with nebulized morphine.

Abstract:

:This paper describes, for the first time, the utilization of nebulized morphine in the management of severe chest pain in two young adult African-American patients who suffered from generalized acute sickle cell painful episodes. While hospitalized, both patients developed new sharp chest wall pain, and were treated with nebulized morphine started at 20 mg MOSO4 in 3.0- to 5.0-mL physiologic buffered saline solution. Within minutes, both patients reported significant relief of chest wall pain. Patient 1 achieved 90% pain relief as well as a significant decrease in the pain intensity score. Patient 2 reported 40% pain relief, and the pain intensity score decreased to a mean of 5.6/10. Hence, treatment every 6 hr was continued for 10 days, after which the chest wall pain subsided. These findings indicate that nebulized morphine may prove effective in the management of acute chest pain in patients with sickle cell anemia. This is a desirable alternative in patients with difficult venous access and may more specifically target chest pain.

journal_name

Am J Hematol

authors

Ballas SK,Viscusi ER,Epstein KR

doi

10.1002/ajh.20064

keywords:

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

190-1

issue

2

eissn

0361-8609

issn

1096-8652

journal_volume

76

pub_type

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