Continuous intravenous morphine for pain relief after abdominal surgery.

Abstract:

:We studied prospectively 247 consecutive patients given morphine by continuous intravenous infusion for 24 h to provide pain relief following elective abdominal surgery. Using a dose of 1 mg/kg supplemented by additional intramuscular morphine 5 mg as necessary, only 26% required more than two additional intramuscular doses for discomfort. In 71 patients, the infusion was discontinued temporarily, mostly because of low respiratory rates. These patients were older (P less than 0.01), and their mean respiratory rate over the 24 h was significantly less (P less than 0.001) than those in whom the infusion was continuous. The technique was inexpensive, easy to use in a general surgical ward, and safe provided certain rules were observed.

journal_name

Ann R Coll Surg Engl

authors

Ray DC,Drummond GB

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

317-21

issue

5

eissn

0035-8843

issn

1478-7083

journal_volume

70

pub_type

杂志文章
  • A new cuffed oesophageal prosthesis for the management of malignant oesophago-respiratory fistula.

    abstract::Malignant oesophago-respiratory fistula is an incurable and distressing condition. Surgery is difficult, unsatisfactory or impossible, and standard oesophageal tubes often fail to occlude the fistula. A new tube is described which relieves dysphagia and occludes the fistula without risk of pressure necrosis. After ins...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Irving JD,Simson JN

    更新日期:1988-01-01 00:00:00

  • A new clinical test in diagnosing quadriceps tendon rupture.

    abstract:INTRODUCTION:Extensor mechanism ruptures might be easily overlooked and misdiagnosed, and delayed diagnosis of quadriceps tendon rupture is frequent. However, the literature recommends early surgical repair within 72 h. PATIENTS AND METHODS:This paper describes a new simple clinical diagnostic test that directly evalu...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X179044

    authors: Jolles BM,Garofalo R,Gillain L,Schizas C

    更新日期:2007-04-01 00:00:00

  • Epidural abscess with associated spondylodiscitis following prostatic biopsy.

    abstract::Spondylodiscitis is often iatrogenic in nature. We report the case of a 69-year-old man presenting with spondylodiscitis and associated epidural abscess following transrectal ultrasonography guided prostate biopsy despite ciprofloxacin cover. To our knowledge, this is the first case of spondylodiscitis secondary to fl...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588415X14181254790563

    authors: Dobson G,Cowie CJ,Holliman D

    更新日期:2015-07-01 00:00:00

  • Surgical aspects of carcinoma of the thyroid gland.

    abstract::The distribution of histological types, presenting symptoms, and treatment in a series of 29 cases of carcinoma of the thyroid gland are described. The treatment policy adopted in such cases is outlined. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Hargreaves AW

    更新日期:1981-09-01 00:00:00

  • Can surgical gloves be made thinner without increasing their liability to puncture?

    abstract::A new process has been used to develop Biogel Super-Sensitive gloves which are thinner but theoretically as strong as standard Biogel gloves. The two types of glove were compared for their effects on manual sensitivity and dexterity in a randomised controlled trial. The Super-Sensitive gloves impaired sensitivity sign...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Carter S,Choong S,Marino A,Sellu D

    更新日期:1996-05-01 00:00:00

  • Selective arterial embolisation for hepatic trauma.

    abstract::The technique of selective arterial embolisation for patients presenting with major hepatic trauma is described. We have used this technique successfully in four patients, three of whom had continued bleeding after emergency laparotomy. It can abolish localised intrahepatic arterial haemorrhage and arteriovenous shunt...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Pain JA,Heaton ND,Karani JB,Howard ER

    更新日期:1991-05-01 00:00:00

  • Primary urethral reconstruction results in penile fracture.

    abstract::Objective This study assessed primary urethral reconstruction results in patients with a penile fracture. Materials and methods Between January 2005 and April 2016, patients who underwent primary urethral reconstruction due to penile fracture were called for a follow-up. Epidemiological and clinical presentation data ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0098

    authors: Barros R,Silva M,Antonucci V,Schulze L,Koifman L,Favorito LA

    更新日期:2018-01-01 00:00:00

  • A new deal for ENT surgeons--The Manchester experience 1992-3.

    abstract:OBJECTIVES:To reduce junior doctors' hours by introducing an on-call system involving cross-cover at SHO level between two separate ENT units. DESIGN:Prospective collection of data on the cross-cover system introduced in September 1992 with analysis after 12 months. SETTING:ENT departments within Salford and Central ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Hartley C,Rothera MP

    更新日期:1994-09-01 00:00:00

  • Physical status is the principal determinant of outcome after emergency admission of patients with colorectal cancer.

    abstract::A prospective study of 825 consecutive patients with colorectal cancer presenting to three general surgeons in a district general hospital over a 10-year period are reported. In all, 735 patients had an operation and are grouped according to whether their operation was within 24 h of admission (n = 63), more than 24 h...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Kingston RD,Walsh SH,Jeacock J

    更新日期:1993-09-01 00:00:00

  • Preparation of a Mastership thesis.

    abstract::A detailed account is given of the mechanics of converting the manuscript results from a period of research into a thesis that is also a first-class, readable book. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Kelly MJ

    更新日期:1981-07-01 00:00:00

  • Inaugural Sidney Werner Lecture. The surgical treatment of thyroid disease in modern perspective.

    abstract::It is timely to review the place of surgery in the treatment of thyroid disease when for some years endocrinologists, pharmacologists, and radiotherapists have made most of the running. This account falls naturally into three parts, simple, malignant, and toxic goitre. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Taylor S

    更新日期:1979-03-01 00:00:00

  • Tonsilloadenoidectomy. Personal observations in 15,000 cases.

    abstract::The indications for removal of tonsils and/or adenoids are discussed, along with preoperative assessment, operative technique, treatment of postoperative haemorrhage, aftercare, and results. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Haydon-Baillie M

    更新日期:1977-03-01 00:00:00

  • A rare case of successful endoscopic management of a fibroepithelial polyp with intussusception of the ureter and periodic prolapse into bladder.

    abstract::Fibroepithelial polyps of the ureter are rare non-epithelial benign tumours with a slight female predominance. They are primarily located in the upper left ureter, incidentally diagnosed in patients who are evaluated for gross haematuria or renal colic. Fibroepithelial polyps are traditionally managed by open surgery ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2018.0198

    authors: Hajji F,Moufid K,Ghoundale O,Touiti D

    更新日期:2019-02-01 00:00:00

  • Using therapeutic mammoplasty to extend the role of breast-conserving surgery in women with larger or ptotic breasts.

    abstract:INTRODUCTION:The equivalence of breast-conserving surgery followed by postoperative radiotherapy against mastectomy is now firmly established in patients with early breast cancer. The results of surgery in large-breasted women can be poor, with radiation-induced fibrosis, chronic pain and poor cosmesis contributing to ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413X13511609958091

    authors: Currie A,Chong K,Davies GL

    更新日期:2013-04-01 00:00:00

  • A new insight into non-specific abdominal pain.

    abstract::This review aims to change clinical practice and alert clinicians to consider that unrecognised coeliac disease may present acutely with abdominal pain. Targeting patients who have non-specific abdominal pain or coeliac-associated symptoms/diseases may improve diagnosis. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588406X85751

    authors: Sanders DS,Azmy IA,Hurlstone DP

    更新日期:2006-03-01 00:00:00

  • Epidermoid cysts of the testis: the case for conservative surgery.

    abstract::The series comprises 6 patients (mean age, 21 years) who presented with an epidermoid cyst of the testis between 1991 and 1998. Pre-operative ultrasonography suggested the presence of a testicular cancer in 3 patients who underwent a radical orchidectomy. The ultrasound successfully predicted the true diagnosis in 3 p...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Gupta SK,Golash A,Thomas JA,Cochlin D,Griffiths D,Jenkins BJ

    更新日期:2000-11-01 00:00:00

  • The Patient Concerns Inventory integrated as part of routine head and neck cancer follow-up consultations: frequency, case-mix, and items initiated by the patient.

    abstract::Introduction The National Institute for Health and Care Excellence guidance Improving Supportive and Palliative Care for Adults with Cancer (2004) and the Cancer Reform Strategy (2007) support the premise that assessment and discussion of patients' needs for physical, social, psychological, and spiritual wellbeing sho...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0215

    authors: Rogers SN,Thomson F,Lowe D

    更新日期:2018-03-01 00:00:00

  • An audit of the preoperative investigation of surgical patients.

    abstract::The pattern of preoperative investigation was audited in 256 patients entering hospital for elective surgery over a 12-week period. During the initial 6 weeks (phase one), no guidance was given to the house surgeons and the investigations were assessed as being 'indicated' or 'not indicated' according to preset criter...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Billings PJ,Davies JP,Richards R,Aubrey DA

    更新日期:1993-05-01 00:00:00

  • Confidence and conflicts of duty in surgery.

    abstract::This paper offers an exploration of the right to confidentiality, considering the moral importance of private information. It is shown that the legitimate value that individuals derive from confidentiality stems from the public interest. It is re-assuring, therefore, that public interest arguments must be made to just...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588410X12628812458932

    authors: Coggon J,Wheeler R

    更新日期:2010-03-01 00:00:00

  • Defunctioning loop ileostomy: not always a safe option.

    abstract::A 74-year-old woman underwent a low anterior resection and defunctioning loop ileostomy for a T1 N1 M0 rectal adenocarcinoma. Three months following surgery she attended complaining of pain inferior to the loop ileostomy. A clinical examination demonstrated an extensive area of spreading cellulitis on the lower abdomi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/147870811X590342

    authors: Davey PT,Burnside N,MacKenzie N,Conkey D,Carson J,Skelly RT

    更新日期:2011-09-01 00:00:00

  • Intravenous urography after acute urinary retention.

    abstract::The results of a 12-month prospective study of 113 patients show that intravenous urography has no place in the management of men with acute urinary retention without haematuria. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Gajraj HA,Taube M

    更新日期:1989-03-01 00:00:00

  • An audit of orthopaedic referrals via Multi-Professional Triage Teams.

    abstract:INTRODUCTION:Multi-Professional Triage Teams (MPTTs) were created to reduce the caseload of hospital orthopaedic clinics and this prospective study evaluated referrals made to a district general hospital orthopaedic department from a lower limb MPTT clinic. PATIENTS AND METHODS:Over 9 months, 277 referrals to a lower ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588408X318174

    authors: Rogers BA,Kabir C,Bradley N

    更新日期:2008-11-01 00:00:00

  • Clinical efficacy and cost effectiveness of intraoperative cell salvage in pelvic trauma surgery.

    abstract:INTRODUCTION:Pelvic acetabular injuries are associated with significant blood loss. This is compounded by multiple surgical interventions including definitive fracture fixation, which put patients at further risk of postoperative transfusion. We use intraoperative cell salvage routinely as a blood conservation strategy...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588413X13629960045715

    authors: Odak S,Raza A,Shah N,Clayson A

    更新日期:2013-07-01 00:00:00

  • Adjuvant chemotherapy for colorectal cancer.

    abstract::Colorectal cancer is the second most common cancer in the Western world, and yet the survival after potentially curative excisional surgery has improved little over the last half century. Newer tumour prognostic markers are not superior to conventional Dukes' staging and there are currently no markers which predict re...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:

    authors: Rayter Z,Leicester RJ,Mansi JL

    更新日期:1995-03-01 00:00:00

  • Digital subtraction cholangiography: a new technique for visualising the common bile duct during cholecystectomy.

    abstract::Operative cholangiography is for most surgeons a routine part of every cholecystectomy. Computerised digital subtraction angiography was adapted for operative cholangiography using a portable machine. After cannulation of the cystic duct the background image was subtracted before injecting contrast. Only the contrast ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Motson RW,Shinkwin MA,May AR,Akhtar N

    更新日期:1988-05-01 00:00:00

  • A rare and serious consequence of a rat bite.

    abstract::Contact with rat saliva or faeces can lead to infection with Streptobacillus moniliformis and the condition known as 'rat bite fever'. We report a case of septic arthritis of the hip due to this organism following a bite on the finger of a 14-year-old boy from a rat for sale in a pet shop. The case was successfully tr...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Downing ND,Dewnany GD,Radford PJ

    更新日期:2001-07-01 00:00:00

  • Unplanned admissions following ambulatory plastic surgery--a retrospective study.

    abstract:INTRODUCTION:Admission for overnight or longer hospital stay from a day-case unit is an unwelcome event. This audit was designed to identify the incidence of unplanned admissions and also to detect the potential factors for such overstays. PATIENTS AND METHODS:Details of plastic surgical day-case patients were obtaine...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588405X60560

    authors: Mandal A,Imran D,McKinnell T,Rao GS

    更新日期:2005-11-01 00:00:00

  • Lesions of uncertain malignant potential (B3) on core biopsy in the NHS Breast Screening Programme: is the screening round relevant?

    abstract:INTRODUCTION:Most women who have screening mammography and undergo subsequent open biopsy following an indeterminate core biopsy result are eventually found to have benign disease. However, a significant number have malignant disease and the rate of malignancy in such cases may be influenced by various factors. This s...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588412X13171221498460

    authors: Hunt RJ,Steel JR,Porter GJ,Holgate CS,Watkins RM

    更新日期:2012-03-01 00:00:00

  • Contrast-enhanced helical computerised tomography in the investigation of thoracic aortic injury.

    abstract::Aortic angiography is widely considered the 'gold standard' for the diagnosis of traumatic thoracic aortic injury. Unfortunately, thoracic aortic angiography has many disadvantages: the technique is invasive but, more importantly, it is not routinely available in all hospitals, necessitating transfer of critically ill...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Beese RC,Allan R,Treasure T

    更新日期:2001-01-01 00:00:00

  • Identification and treatment of anaemia in patients awaiting hip replacement.

    abstract:INTRODUCTION:The correction of anaemia prior to total hip arthroplasty reduces surgical risk, hospital stay and cost. This study considers the benefits of implementing a protocol of identifying and treating pre-operative anaemia whilst the patient is on the waiting list for surgery. PATIENTS AND METHODS:From a prospec...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588408X301163

    authors: Rogers BA,Cowie A,Alcock C,Rosson JW

    更新日期:2008-09-01 00:00:00