| Autor: |
J. Wootton, Phillip Good, Geoffrey Spurling, William Syrmis |
| Rok vydání: |
2014 |
| Předmět: |
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| Zdroj: |
Internal Medicine Journal. 44:483-489 |
| ISSN: |
1444-0903 |
| DOI: |
10.1111/imj.12401 |
| Popis: |
Background: Opioid switching or rotation is reported to be a common practice in palliative care. Published tables of opioid conversion ratios have been found to vary in their recommendations, potentially leading to significant differences in clinical practice. Aims: To identify common practices in the calculation of opioid equianalgesia by specialist palliative medicine practitioners and trainees. Method: An anonymous, cross-sectional, online survey completed by 85 Australian palliative care specialists or advanced trainees. Questions focused on conversion ratios used in switching between oral and parenteral opioid doses; conversion ratios used when switching from other opioids to oral morphine; and practice of commencing methadone. Results: The majority of respondents calculated equianalgesic doses for morphine, oxycodone and hydromorphone using the same conversion ratios. Methadone was used almost equally as either the sole opioid or as a 'co-opioid'. The majority surveyed converted slow-release hydromorphone differently to the manufacturer's recommendations. Conclusion: Further discussion among Australian palliative care specialist organisations is recommended in order to produce uniform conversion guidelines to improve consistency and safety in the prescribing of opioids. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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