Work

Continuous Intrathecal Morphine Infusion for Pain Management in a Polytrauma Patient: A Case Report

Year: 2020

Type: article

Abstract: Polytrauma patients are at high risk for neurologic complications as a result of the primary mechanism of their trauma and/or delirium caused by subsequent pain, sedatives and analgesic exposure, sleep disturbances, infections, metabolic derangements, organ dysfunctions, withdrawal syndromes, or other factors. The high prevalence of delirium within trauma intensive care units increases risks for both patients and providers and is associated with worsened patient outcomes. This case report explains the rationale and utilization of continuous intrathecal morphine administration to improve pain control while reducing and eliminating intravenous (IV) analgesics and sedatives to enable wakefulness in a polytrauma patient with refractory agitated delirium.

Source: A&A Practice

DOI: 10.1213/xaa.0000000000001338

Authors: Christina S. Boncyk, Kaitlyn A. Brennan, Oscar Guillamondegui, Clayne Benson

Institution: Vanderbilt University Medical Center

Language: English

Topic: Anesthesia and Pain Management

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funder: National Institute of General Medical Sciences