본문 바로가기
KERD
논문KCI 등재

Aspiration Pneumonitis Caused by Delayed Respiratory Depression Following Intrathecal Morphine Administration

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Opioid analgesia is the primary pharmacologic intervention for managing pain. However, opioids can cause various adverse effects including pruritus, nausea, constipation, and sedation. Respiratory depression is the most fatal side effect. Therefore, cautious monitoring of respiratory status must be done after opioid administration. Here, we report a patient who suffered from respiratory depression with deep sedation and aspiration pneumonitis after intrathecal morphine administration.

Abstract

Opioid analgesia is the primary pharmacologic intervention for managing pain. However, opioids can cause various adverse effects including pruritus, nausea, constipation, and sedation. Respiratory depression is the most fatal side effect. Therefore, cautious monitoring of respiratory status must be done after opioid administration. Here, we report a patient who suffered from respiratory depression with deep sedation and aspiration pneumonitis after intrathecal morphine administration.

참고문헌 (11)

  1. 이상진, "척수강 내 약물 주입기의 이식 −증례보고−", The Korean Journal of Pain, 22(1), pp.68~73 (2009), 대한통증학회
  2. Seok Myeon Rhee, "Catheter Obstruction of Intrathecal Drug Administration System -A Case Report-", The Korean Journal of Pain, 25(1), pp.47~51 (2012), 대한통증학회
  3. Chaney MA, "Side effects of intrathecal and epidural opioids", Can J Anaesth, 42, pp.891~903 (1995)
  4. Oderda GM, "Opioid-related adverse drug events in surgical hospitalizations: impact on costs and length of stay", Ann Pharmacother, 41, pp.400~406 (2007)
  5. Jarzyna D, "American Society for Pain Management Nursing guidelines on monitoring for opioid-induced sedation and respiratory depression", Pain Manag Nurs, 12, pp.118~145 (2011)
  6. Abou Hammoud H, "Intravenous morphine titration in immediate postoperative pain management: population kinetic-pharmacodynamic and logistic regression analysis", Pain, 144, pp.139~146 (2009)
  7. Young-McCaughan S, "Definition of and mechanism for opioid-induced sedation", Pain Manag Nurs, 2, pp.84~97 (2001)
  8. Gustafsson LL, "Adverse effects of extradural and intrathecal opiates: report of a nationwide survey in Sweden", Br J Anaesth, 54, pp.479~486 (1982)
  9. Ruan X, "Respiratory failure following delayed intrathecal morphine pump refill: a valuable, but costly lesson", Pain Physician, 13, pp.337~341 (2010)
  10. American Society of Anesthesiologists Task Force on Neuraxial Opioids, "Practice guidelines for the prevention, detection, and management of respiratory depression associated with neuraxial opioid administration", Anesthesiology, 110, pp.218~230 (2009)
  11. Taylor S, "Has the pendulum swung too far in postoperative pain control?", Am J Surg, 186, pp.472~475 (2003)

관련 논문AI추천

이 간행물의 다른 논문 (14건)