International Journal of Obstetric Anesthesia
Volume 16, Issue 1 , Pages 17-21 , January 2007

Dose response to intrathecal diamorphine for elective caesarean section and compliance with a national audit standard

,Accepted 1 April 2006.

References 

  1. Holdcroft A. Adequacy of post caesarean section pain relief. In:  Lack JA,  White LA,  Thoms GM,  Rollin AM editor. Raising the standard, compendium of audit recipes for continuous quality improvement. Reading: The Royal College of Anaesthetists; 2000;p. 6.13
  2. Dahl V, Hagen IE, Sveen AM, Norseng H, Koss KS, Steen T. High-dose diclofenac for postoperative analgesia after elective caesarean section in regional anaesthesia. Int J Obstet Anesth. 2002;11:91–94
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  4. Graham D, Russell IF. A double-blind assessment of the analgesic sparing effect of intrathecal diamorphine (0.3 mg) with spinal anaesthesia for elective caesarean section. Int J Obstet Anesth. 1997;6:224–230
  5. Stacey RGW, Jones R, Kar G, Poon A. High-dose intrathecal diamorphine for analgesia after Caesarean section. Anaesthesia. 2001;56:54–60
  6. Skilton RWH, Kinsella SM, Smith A, Thomas TA. Dose response study of subarachnoid diamorphine for analgesia after elective caesarean section. Int J Obstet Anesth. 1999;8:231–235
  7. Kelly MC, Carabine U, Mirakhur RK. Intrathecal diamorphine for analgesia after Caesarean section. Anaesthesia. 1998;53:231–237
  8. Rosaeg OP, Lui ACP, Cicutti NJ, Bragg PR, Crossan ML, Krepski B. Perioperative multimode pain therapy for caesarean section: analgesia and fitness for discharge. Can J Anaesth. 1997;44:803–809
  9. Dennis AR, Leeson-Payne CG, Hobbs GJ. Analgesia after caesarean section. The use of rectal diclofenac as an adjunct to spinal morphine. Anaesthesia. 1995;50:297–299
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  11. Hyllested M, Jones S, Pederson JK, Kehlet H. Comparative effect of paracetamol, NSAIDs or their combination in postoperative pain management: a qualitative review. Br J Anaesth. 2002;88:199–214
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  13. Banos JE, Bosch F, Canellas M, Bassols A, Ortega F, Bigorra J. Acceptability of visual analogue scales in the clinical setting: a comparison with verbal rating scales in postoperative pain. Methods Find Exp Clin Pharmacol. 1989;11:123–127
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 This study was supported by a grant from the Sheffield Teaching Hospitals small grants scheme.

PII: S0959-289X(06)00136-1

doi: 10.1016/j.ijoa.2006.04.015

International Journal of Obstetric Anesthesia
Volume 16, Issue 1 , Pages 17-21 , January 2007