Decreased opioid doses used on a palliative care unit
| Autor: | John Hanson, Eduardo Bruera, Michelle Belzile, Robin L. Fainsinger, Karen Louie |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Male
Narcotics Palliative care Drug Administration Schedule 03 medical and health sciences 0302 clinical medicine 030502 gerontology Chart review medicine Humans In patient Aged Retrospective Studies Chi-Square Distribution business.industry Opioid use Palliative Care General Medicine Middle Aged Original data Opioid 030220 oncology & carcinogenesis Anesthesia Female 0305 other medical science business Methadone medicine.drug |
| Zdroj: | Journal of palliative care. 12(4) |
| ISSN: | 0825-8597 |
| Popis: | We have previously published data on our use of opioids in the last week of life. A change in our pattern of opioid use, i.e. switching opioids more frequently and using high-dose methadone suppositories, appears to have resulted in a decrease in the number of patients requiring high-dose opioids. A retrospective chart review of 100 consecutive patients treated on our palliative care unit during 1992 was completed and compared to the original data from 1990. Results confirmed a decrease in the range of opioids used, as well as a statistically significant decrease in the daily opioid dose in the last week of life. We believe that this difference is most likely due to the use of methadone in patients showing either a poor response to other opioids or a rapid development of tolerance, as well as switching opioids more frequently to take advantage of incomplete cross-tolerance. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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