Abstract:
:A case of central nervous system depression which developed 7 hours after an intrathecal injection of 4 mg of morphine is described. The patient lapsed into coma with bradypnoea and "pin-point' pupils and there was no response to naloxone 0.4 mg. Treatment was continued for 3 hours. No postoperative analgesics were required for 126 hours. The problems associated with the use of intrathecal opiates are reviewed, delay in onset being the usual feature. Use of hyperbaric solutions of the narcotic and maintenance of a head-up posture may protect against respiratory depression.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Sidi A,Davidson JT,Behar M,Olshwang Ddoi
10.1111/j.1365-2044.1981.tb08679.xsubject
Has Abstractpub_date
1981-11-01 00:00:00pages
1044-7issue
11eissn
0003-2409issn
1365-2044journal_volume
36pub_type
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