Acute Pain
Volume 9, Issue 1 , Pages 13-19 , March 2007

An audit of the safety and effectiveness of an alfentanil:morphine mixture in the postanaesthesia care unit

Received 20 July 2006 ,Revised 11 October 2006 ,Accepted 13 October 2006.

References 

  1. Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be under-managed. Anesth Analg. 2003;97:534–540
  2. Wu CL, Berenholtz SM, Pronovost PJ, Fleisher LA. A systematic review and analysis of postdischarge complications after ambulatory surgery. Anesthesiology. 2002;96:994–1003
  3. Macintyre PE, Ready LB. Acute pain management a practical guide. 2nd ed.. London: W.B. Saunders; 2001;
  4. Ederoth P, Tunblad K, Bouw R, Lundberg CJ, Ungerstedt U, Nordstrom CH, et al. Blood-brain barrier transport of morphine in patients with severe brain trauma. Br J Clin Pharmacol. 2004;57:427–435
  5. Hull CJ. The pharmacokinetics of alfentanil in man. Br J Anaesth. 1983;55:157S–164S
  6. Ludbrook GL, Macintyre PE, Douglas H, Ong L, Upton RN. A mixture of alfentanil and morphine for rapid postoperative loading with opioid: theoretical basis and initial clinical investigation. Anaesthesia. 2001;56:1–7
  7. Upton RN, Semple TJ, Macintyre PE. Pharmacokinetic optimisation of opioid treatment in acute pain therapy. Clin Pharmacokinet. 1997;33:225–244
  8. ANZCA acute pain guidelines: http://www.anzca.edu.au/publications/acutepain.htm; 2005.
  9. Wu CL, Rowlingson AJ, Partin AW, Kalish MA, Courpas GE, Walsh PC, et al. Correlation of postoperative pain to quality of recovery in the immediate postoperative period. Reg Anesth Pain Med. 2005;30:516–522
  10. Lotsch J. Pharmacokinetic–pharmacodynamic modelling of opioids. J Pain Symptom Manage. 2005;29:S90–S103
  11. Chapman CR, Hill HF, Saeger L, Garvin J. Profiles of opioid analgesia in humans after intravenous bolus administration: alfentanil, fentanyl and morphine compared in experimental pain. Pain. 1990;43:47–55

PII: S1366-0071(06)00180-X

doi: 10.1016/j.acpain.2006.10.001

Acute Pain
Volume 9, Issue 1 , Pages 13-19 , March 2007

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