Skip to main content

Titration of opioids for acute pain management

  • Conference paper
  • 1018 Accesses

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Merskey H (1986) Classification of chronic pain. Pain (Suppl 3):1

    Google Scholar 

  2. Brownstein MJ (1993) A brief history of opiates, opioid peptides, and opioid receptors. Proc Natl Acad Sci USA 90:5391

    Article  PubMed  CAS  Google Scholar 

  3. Stein C (1995) The control of pain in peripheral tissue by opioids. N Engl J Med 332: 1685

    Article  PubMed  CAS  Google Scholar 

  4. Upton RN, Semple TJ, Macintyre PE (1997) Pharmacokinetics optimization of opioid treatment in acute pain therapy. Clin Pharmacokinet 33:225

    PubMed  CAS  Google Scholar 

  5. Rooke GA, Reves JG, Rosow CE (2002) Anesthesiology and geriatric medicine: mutual needs and opportunities. Anesthesiology 96:2

    Article  PubMed  Google Scholar 

  6. Dershwitz M, Hoke JF, Rosow CE et al (1996) Pharmacokinetics and pharmacodynamics of remifentanil in volunteer subjects with sever liver disease. Anesthesiology 84:812

    Article  PubMed  CAS  Google Scholar 

  7. Hoke JF, Shlugman D, Dershwitz M et al (1997) Pharmacokinetics and pharmacodynamics of remifentanil in persons with renal failure compared with healthy volunteers. Anesthesiology 87:533

    Article  PubMed  CAS  Google Scholar 

  8. Dahan A, Sarton E, Teppema L et al (1998) Sex-related differences in the influence of morphine on ventilatory control in humans. Anesthesiology 88:903

    Article  PubMed  CAS  Google Scholar 

  9. Cepeda MS, Farrar JT, Roa JH et al (2001) Ethnicity influences morphine pharmacokinetics and pharmacodynamics. Clin Pharmacol Ther 70:351

    PubMed  CAS  Google Scholar 

  10. Caraco Y, Sheller J, Wood AJ (1999) Impact of ethnic origin and quinidine coadministration on codeine’s deposition and pharmacokinetic effects. J Pharmacol Exp Ther 290:413

    PubMed  CAS  Google Scholar 

  11. Schug SA, Merry AF, Acland RH (1991) Treatment principles for use of opioids in pain of non-malignant origin. Drugs 42:228

    Article  PubMed  CAS  Google Scholar 

  12. Basbaum AI (1998) Spinal mechanism of acute and persistent pain. Reg Anesth Pain Med 24:59

    Article  Google Scholar 

  13. Siddel PJ, Cousins MJ (1998) Introduction to pain mechanism. In: Cousins MJ, Bridenbaugh PO (eds) Neural blockade in clinical anesthesia and management of pain. Lippincott-Raven, Philadelphia

    Google Scholar 

  14. Raja SN, Dougherty PM (2000) reversing tissue injury-induced plastic changes in the spinal cord. The search for magic bullet. Reg Anesth Pain Med 25:441

    Article  PubMed  CAS  Google Scholar 

  15. Weissman C (1990) The metabolic response to stress: an overview and update. Anesthesiology 73:308

    Article  PubMed  CAS  Google Scholar 

  16. Kehlet H (1989) Surgical stress: the role of pain and analgesia. Br J Anaesth 63:189

    Article  PubMed  CAS  Google Scholar 

  17. Berti M (1999) Il dolore postoperatorio: la teoria e la pratica. CE.DI.S, Rome

    Google Scholar 

  18. Cooper I.M (1996) Morphine for postoperative analgesia: a comparison of intramuscular and subcutaneous routes of administration. Anesth Intensive Care 24:574

    CAS  Google Scholar 

  19. Alexander Williams JM, Rowbotham DJ (1998) Novel routes of opioid administration. Br J Anesth 81:3

    CAS  Google Scholar 

  20. Semple TJ, Upton RN et al (1997) Morphine blood concentration in elderly postoperative patients following administration via on indwelling subcutaneous catheter. Anaesthesia 52:318

    Article  PubMed  CAS  Google Scholar 

  21. Peng WH, Sandler AN (1999) A review in the use of fentanyl analgesia in the management of acute pain in adults. Anesthesiology 90:576

    Article  PubMed  CAS  Google Scholar 

  22. Dale O, Hjortkjer R et al (2002) Nasal administration of opioids for pain management in adults. Acta Anaesthesiol Scand 46:759

    Article  PubMed  CAS  Google Scholar 

  23. Lehamann KA (1999) Patient-controlled analgesia: an efficient therapeutic tool in the postoperative setting. Eur Surg Res 31:112

    Article  Google Scholar 

  24. Dahmani S, Dupont H, Mantz J et al (2001) Predictive factors of early morphine requirements in the post-anaesthesia care unit (PACU). Br J Anaesth 87:385

    Article  PubMed  CAS  Google Scholar 

  25. Perry F, Parker RK, White PF et al (1994) Role of psychological factors in postoperative pain control and recovery with patient controlled analgesia. Clin J Pain 10:57

    PubMed  CAS  Google Scholar 

  26. Pico L, Hernot S, Nègre I et al (2000) Peroperative titration of morphine improves immediate postoperative analgesia after total hip arthroplasty. Can J Anaesth 47:309

    Article  PubMed  CAS  Google Scholar 

  27. Wall RT (1990) Use of analgesics in the elderly. Clin Geriatr Med 6:345

    PubMed  Google Scholar 

  28. Kaiko RF (1980) Age and morphine analgesia in cancer patients with postoperative pain. Clin Pharmacol Ther 28:823

    Article  PubMed  CAS  Google Scholar 

  29. Aubrub F, Monsel S, Langeron O et al (2002) Postoperative titration of intravenous morphine in the elderly patients. Anesthesiology 96:17

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer-Verlag Italia

About this paper

Cite this paper

Leykin, Y. (2005). Titration of opioids for acute pain management. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/88-470-0351-2_6

Download citation

  • DOI: https://doi.org/10.1007/88-470-0351-2_6

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0288-3

  • Online ISBN: 978-88-470-0351-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics