Pain score guided morphine titration is risky and inappropriate

Pain score guided morphine titration is risky and inappropriate.

and anesthesia when necessary’ and ‘more harm may be inflicted if necessary treatment is withheld’. As a corollary to this statement, based on current evidence and considering the advantages of breast-feeding to both the mother and the infant, the use of short-acting sedative premedication for the nursing mother may be considered (albeit with caution as with any other medication). Further resea...

Relationships between measurement of pain using visual analog score and morphine requirements during postoperative intravenous morphine titration.

BACKGROUND Although intravenous morphine titration is widely used to obtain rapid and complete postoperative pain relief, the relationship between measurement of pain and morphine requirements varies, and the evolution of pain during titration is poorly understood. METHODS Intravenous morphine titration was administered as a bolus of 2 (body weight < or = 60 kg) or 3 mg (body weight > 60 kg) ...

Age adapted morphine titration produces equivalent analgesia

Ultrasound-guided bilateral transversus abdominis plane block versus spinal morphine for pain relief after caesarean section

Background: Ultrasound-guided transversus abdominis plane block is an effective method for pain relief after cesarean delivery. The gold standard to treat pain after cesarean delivery is spinal morphine administration; at the same time TAP is considered as an effective method to treat this pain. In this study, we compared efficiency and side effects of these techniques in patients undergoing el...

Effects of a loading dose of morphine before i.v. morphine titration for postoperative pain relief: a randomized, double-blind, placebo-control study.

BACKGROUND I.V. morphine titration (MT) allows adjustment of the dose needed for pain relief in the post-anaesthesia care unit (PACU). However, MT has limitations such as a delay to achieve pain relief. We thus assessed the effect of a fixed intraoperative loading dose of morphine administered before titration. METHODS One hundred patients who were undergoing major orthopaedic surgery were in...