yes we do see some itching in a small number of women and it seems to
resolve with a small dose of narcan (which does not reverse the effects
of the intrathecal morph interestingly enough).
Dont seem to have many women nauseated by it though
Andrea Q
On 25/06/2005, at 7:17 PM, Ken WArd wrote:
Spinal morph can result in the awful itchies and nausea.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Andrea
Quanchi
Sent: Saturday, 25 June 2005 10:04 AM
To: [email protected]
Subject: Re: [ozmidwifery] post LUSCS analgesia
Get your anaesthetists to look into the spinal morph becauses it does
make a huge difference and seems to have no effect on the babies at
all. I would say that it has no effect but dont actually know that for
sure whether it crosses the barrier whereas oral oxycontin would cross
into the breast milk. . Our guys put 1 mg into the spinal after the
local,
Andrea
On 24/06/2005, at 7:20 PM, Nicole Carver wrote:
I forgot to say that the oxycontin 5mg 2-4hrly is prn. There is a wide
variation amongst our patients, as to how much of the prn oxycontin is
given. Some manage without any at all, but most have several doses on
the first day, and a couple on the second.
However, reading the other responses, it does sound like a lot.
Perhaps depends what was used in the spinal in theatre. We don't use
morphine in theatre, so that may be the difference.
We used to use Prolodone supps which we found very effective, but they
were replaced by the new regime.
Nicole.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Ken WArd
Sent: Friday, June 24, 2005 7:02 PM
To: [email protected]
Subject: RE: [ozmidwifery] post LUSCS analgesia
seems like a lot. Coming from a unit where im analgesic was heavily
used, I was greatly impressed with the voltaren/panadol regime. The
women are up and about so much quicker, more alert and caring for
their babies sooner. Maureen
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Nicole
Carver
Sent: Thursday, 23 June 2005 10:23 PM
To: [email protected]
Subject: RE: [ozmidwifery] post LUSCS analgesia
Hi Sally,
We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg
2-4 hrly, Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty
eight hours we cease the oxycontin and commence Panadeine Forte in
place of the Paracetamol. However, we have to watch out for
constipation. Otherwise it seems to be a good regime.
Nicole Carver.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of sally
williams
Sent: Wednesday, June 22, 2005 5:52 PM
To: [email protected]
Subject: [ozmidwifery] post LUSCS analgesia
Was wondering what other units use as a pain relief regime for women
that
have had LUSCS. There is much angst in our unit at present, with
midwives
coming from lots of different hospitals used to different regimes. I
am in
the process of initiating a pathway for this so that we can adopt a
regime
that everyone is comfortable with and then putting it to the docs,
references and all.
Thanks in advance
Sally
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