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Text
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URL Address
<a href="http://doi.org/10.1191/026921600670697351" target="_blank" rel="noreferrer">http://doi.org/10.1191/026921600670697351</a>
Dublin Core
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Title
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Intravenous morphine for emergency treatment of cancer pain
Publisher
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Palliative Medicine
Date
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2000
Subject
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Female; Male; Palliative Care; Adult; Analgesics; Aged; 80 and over; retrospective studies; Infusions; Intravenous; Human; Developing Countries; Adolescence; Middle Age; Neoplasms/complications; Morphine/administration & dosage/adverse effects; Emergency Treatment; India; Opioid/administration & dosage/adverse effects; Pain/drug therapy/prevention & control
Creator
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Kumar KS; Rajagopal MR; Naseema AM
Description
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Despite the wide use of the World Health Organization (WHO) analgesic ladder for the relief of cancer pain, it is not uncommon to find patients presenting with severe pain to palliative care centres. This is more so in the developing world, where facilities for pain relief are few and the health care system is not well organized. It has been the practice in a pain and palliative care clinic in south India to give repeated boluses of 1.5 mg of morphine intravenously every 10 min to patients presenting with severe pain. An audit of the procedure was undertaken by a retrospective study of 793 case notes. Seventy-nine per cent of patients had total relief of their pain with intravenous morphine. Three per cent of patients experienced side-effects during the procedure. These included nausea and vomiting, itching, giddiness, restlessness, dyspnoea, chest pain, disorientation and a feeling of uneasiness. Thirty-two per cent of patients had drowsiness, which was one of the end-points of the procedure. It is concluded that intravenous morphine in repeated boluses of 1.5 mg every 10 min is a safe and effective method of managing cancer pain emergencies in a clinical setting in a developing country.
2000
Identifier
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<a href="http://doi.org/10.1191/026921600670697351" target="_blank" rel="noreferrer">10.1191/026921600670697351</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2000
80 And Over
Adolescence
Adult
Aged
Analgesics
Backlog
Developing Countries
Emergency Treatment
Female
Human
India
Infusions
Intravenous
Journal Article
Kumar KS
Male
Middle Age
Morphine/administration & dosage/adverse effects
Naseema AM
Neoplasms/complications
Opioid/administration & dosage/adverse effects
Pain/drug therapy/prevention & control
Palliative Care
Palliative Medicine
Rajagopal MR
Retrospective Studies