[Acute respiratory distress subordinate to a morphine overdose during a frail elderly patient controlled analgesia]

Autor:	A, Ades, V, Compère, C, Abriou, O, Baert, V, Fourdrinier, B, Dureuil
Jazyk:	francouzština
Rok vydání:	2008
Předmět:	Aged 80 and over Male Pain Postoperative Respiratory Distress Syndrome Morphine Naloxone Arthroplasty Replacement Hip Narcotic Antagonists Oxygen Inhalation Therapy Analgesia Patient-Controlled Acute Kidney Injury Analgesics Opioid Humans Droperidol Adjuvants Anesthesia Glomerular Filtration Rate
Zdroj:	Annales francaises d'anesthesie et de reanimation. 28(4)
ISSN:	1769-6623
Popis:	We describe a case-report of an 85-year-male patient with a patient-controlled analgesia (PCA) after a total hip arthroplasty. Four hours after surgery, acute respiratory distress secondary to a morphine overdose occurred, requiring an antagonisation with naloxone. Morphine overdose during a PCA was always caused by a wrong use of the pump. In this case-report, no mistake of programming or administration's use was found. Too important morphine's doses managed in comparison with the patient's age and his renal failure could explain this morphine's accumulation and the respiratory distress. This observation reminds us the obligation to determine the optimal posology in accordance with the rate of glomerular filtration estimated by Cockcroft and Gault formula for patients using a PCA.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::4b61bb0361ee858ca0566df9b9551575 https://pubmed.ncbi.nlm.nih.gov/19361945 Zobrazit plný text záznamu Full Text from ScienceDirect