Acute Pain
Volume 9, Issue 4 , Pages 215-219 , December 2007

Postoperative analgesia after caesarean section: Intermittent intramuscular versus subcutaneous morphine boluses

  • Mohammadreza Safavi

      Affiliations

    • Department of Anesthesiology and Intensive Care, School of Medical Science, Isfahan University, Isfahan, Iran
    • Anesthesiology Department, Alzahra Medical Center, Isfahan University of Medical Sciences, Isfahan, Iran
    • Corresponding Author InformationCorresponding author at: Alzahra Medical Center, Street SOFEH, Isfahan University, Isfahan 817465731/81744, Iran. Tel.: +98 9133152416; fax: +98 3117751182.
    • ,
  • Azim Honarmand

      Affiliations

    • Department of Anesthesiology and Intensive Care, School of Medical Science, Isfahan University, Isfahan, Iran
    • Anesthesiology Department, Alzahra Medical Center, Isfahan University of Medical Sciences, Isfahan, Iran

Received 16 April 2007 ,Revised 24 July 2007 ,Accepted 16 August 2007.

References 

  1. Cooper IM. Morphine for postoperative analgesia: a comparison of intramuscular and subcutaneous routes of administration. Anaesth Intensive Care. 1996;24(5):574–578
  2. Devulder JE. Subcutaneous morphine is superior to intrathecal morphine for pain control in a patient with hypernephroma. J Clin Anesth. 1998;10:163–165
  3. Dickson RJ, Russell PSB. Continuous subcutaneous analgesics for terminal care at home. Lancet. 1981;817:165
  4. Keita H, Geachan N, Dahmani S, Couderc E, Armand C, Quazza M, et al. Comparison between patient-controlled analgesia and subcutaneous morphine in elderly patients after total hip replacement. Br J Anaesth. 2003;90(1):53–57
  5. Semple TJ, Upton RN, Macintyre PE, Runciman WB, Mather LE. Morphine blood concentrations in elderly postoperative patients following administration via an indwelling subcutaneous cannula. Anaesthesia. 1997;52(4):318–323
  6. Semple TJ, Macintyre PE, Southall EG. Subcutaneous morphine. Anaesth Intensive Care. 1990;18:267–268
  7. Kirkpatrick T, Henderson PD, Nimmo WS. Plasma morphine concentrations after intramuscular injections into the deltoid or gluteal muscles. Anaesthesia. 1988;54:293–295
  8. Semple TJ, Southall EG, Macintyre PE. Pharmacokinetics of subcutaneous morphine in the elderly postoperative patient. Pain. 1990;5(Suppl. 1):S240
  9. Vijayan R. Subcutaneous morphine—a simple technique for postoperative analgesia. Acute Pain. 1997;54:21–26
  10. Harkins S, Price D. Are there special needs for pain assessment in the elderly?. Am Pain Soc Bull. 1993;3:4–6
  11. Anthony JC, LeResche L, Niaz U, Von Korff MR, Folstein F. Limits of the ‘Mini-Mental State’ as a screening test for dementia and delirium among hospital patients. Psychol Med. 1982;12:397–408
  12. Crane RA. Intermittent subcutaneous infusion of opioids in hospice home care: an effective, economical, manageable option. Am J Hosp Palliat Care. 1994;11:8–12
  13. Munro AJ, Long GT, Sleigh JW. Nurse-administered subcutaneous morphine is a satisfactory alternative to intravenous patient-controlled analgesia morphine after cardiac surgery. Anesth Analg. 1998;87:11–15
  14. Nirmalan M, Bopitiya UI, Jayawardene J, Attygalle D. Subcutaneous morphine for postoperative analgesia. Ceylon Med J. 1994;39:19–22
  15. Rigg JRA, Braune RA, Davis C, Khadelwal JK, Goldsmith CH. Variation in the disposition of morphine after IM administration in surgical patients. Br J Anesth. 1978;50:1125–1130
  16. Lavies NG, Wandless JG. Subcutaneous morphine in children: taking the sting out of postoperative analgesia. Anesthesia. 1989;44:1000–1001
  17. Gregg AK, Jones M. Intermittent subcutaneous injections for postoperative pain relief. Anaesthesia. 1999;54(2):200

PII: S1366-0071(07)00149-0

doi: 10.1016/j.acpain.2007.08.023

Acute Pain
Volume 9, Issue 4 , Pages 215-219 , December 2007

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