A Retrospective Assessment of the Incidence of Respiratory Depression After Neuraxial Morphine Administration for Postcesarean Delivery Analgesia

被引:52
作者
Crowgey, Theresa R. [1 ]
Dominguez, Jennifer E. [1 ]
Peterson-Layne, Cathleen [1 ]
Allen, Terrence K. [1 ]
Muir, Holly A. [1 ]
Habib, Ashraf S. [1 ]
机构
[1] Duke Univ, Med Ctr, Anesthesiol Womens Div, Durham, NC 27710 USA
关键词
EPIDURAL MORPHINE; POSTOPERATIVE ANALGESIA; CESAREAN DELIVERY; SECTION;
D O I
10.1213/ANE.0b013e3182a9b042
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Respiratory depression can occur after neuraxial morphine administration. In the obstetric population, there are little data on respiratory depression after neuraxial morphine administration in women undergoing cesarean delivery. In this single-center, retrospective study in 5036 obstetric patients (mean body mass index = 34 kg/m(2)) who underwent cesarean delivery and received neuraxial morphine, we did not identify any instances of respiratory depression requiring naloxone administration or rapid response team involvement. Therefore, the upper 95% confidence limit for respiratory depression in our study is 0.07% (1 event per 1429 cases).
引用
收藏
页码:1368 / 1370
页数:3
相关论文
共 11 条
[1]  
ABOULEISH E, 1991, REGION ANESTH, V16, P137
[2]   Respiratory depression after neuraxial opioids in the obstetric setting [J].
Carvalho, Brendan .
ANESTHESIA AND ANALGESIA, 2008, 107 (03) :956-961
[3]  
Eckstrand JA, 2009, PATIENT SAF SURG, V3, DOI 10.1186/1754-9493-3-18
[4]   EPIDURAL MORPHINE FOR ANALGESIA AFTER CESAREAN-SECTION - A REPORT OF 4880 PATIENTS [J].
FULLER, JG ;
MCMORLAND, GH ;
DOUGLAS, MJ ;
PALMER, L .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1990, 37 (06) :636-640
[5]  
Ko S, 2003, CAN J ANAESTH, V50, P679, DOI 10.1007/BF03018710
[6]  
KOTELKO DM, 1984, OBSTET GYNECOL, V63, P409
[7]  
Lee LA, 2012, ASA ANN M, pA305
[8]  
LEICHT CH, 1986, ANESTHESIOLOGY, V65, pA366, DOI 10.1097/00000542-198609001-00364
[9]   EPIDURAL MORPHINE FOR POSTOPERATIVE ANALGESIA [J].
MCMORLAND, GH ;
DOUGLAS, MJ .
CANADIAN ANAESTHETISTS SOCIETY JOURNAL, 1986, 33 (01) :115-116