RT Book, Section
A1 Colella, Merry I.
A2 Hess, Philip E.
A2 Li, Yunping
A2 Kowalczyk, John J.
A2 Stiles, Justin K.
SR Print(0)
ID 1199674205
T1 Neuraxial Morphine
T2 Obstetric Anesthesia: Quick References & Practical Guides
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264671465
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1199674205
RD 2024/04/20
AB Neuraxial  morphine  (intrathecal  or  epidural)  has  been  used  since  the  early  1980s  to  provide  safe  and  effective  postpartum  postsurgical  pain  relief.1,2Respiratory  depression  associated  with  neuraxial  morphine  is  extremely  rare.  It  occurs  with  an  average  time  of  onset  of  8  to  12  hours  after  neuraxial  morphine  installation.1Vigilant  monitoring  of  the  patient’s  respiratory  status  for  24  hours  after  injection.Respiratory  depression  is  most  often  associated  with  the  use  of  supplemental  narcotics  or  sedatives.For  breastfeeding  patients,  the  newborn  is  not  appreciably  affected  by  morphine  excretion  in  the  colostrum  after  neuraxial  administration  of  morphine.Only  administer  neuraxial  morphine  when  the  postpartum  floor  has  the  capability  to  monitor  the  patients  and  monitoring  policy  is  in  place.