Colonic pseudoobstruction associated with patient-controlled analgesia after total joint arthroplasty.

Abstract:

:Patient-controlled analgesia (PCA) is a concept that permits patients to administer a prescribed dose of narcotic to themselves when they experience pain. Six patients developed colonic pseudoobstruction after the use of morphine sulfate administered via a PCA infuser. Early recognition and prompt treatment make this a transient, reversible illness. Treatment includes discontinuing the use of the PCA morphine, eliminating oral intake, ensuring adequate hydration and electrolyte balance, placing a nasogastric tube, rolling the patient, and closely observing for signs and symptoms of worsening colonic distention and possible rupture.

journal_name

Clin Orthop Relat Res

authors

Chambers HG,Silver SM,Bucknell AL

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

255-60

issue

254

eissn

0009-921X

issn

1528-1132

pub_type

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