Accession Number:

AD1038593

Title:

Continuous Intrathecal Morphine Infusion for Pain Management in a Patient with Burn Injury

Descriptive Note:

Conference Paper

Corporate Author:

59th Medical Wing San Antonio United States

Personal Author(s):

• Dickey,Alyssa R.
• Ainsworth,Craig R.
• Chong,Jonathan K.
• Benson,Clayne

Report Date:

2017-08-27

Pagination or Media Count:

5.0

Abstract:

Patients with burn injury requiring admission to the intensive care unit are at increased risk for delirium due to exposure to opioids and other intravenous infusions needed for pain management and sedation. The incidence of delirium in the intensive care unit ICU ranges from 45-87. Despite the attempt lo limit total dosages with a multimodal approach, the amount of medication required for analgesia and sedation hinders the patients ability to be awake and calm, participate in physical therapy and be liberated from mechanical ventilation. This case report details the first reported placement of an lntrathecal IT catheter for delivery of IT morphine in a effort to limit the use of opioids and sedatives in a patient with burn injury. Since IT delivery is within the cerebrospinal fluid CSF, approximately 1 mg of IT morphine Is equivalent to 100 mg intravenous morphine.

Descriptors:

• burns
• pain management
• wounds and injuries
• medical research
• dose rate
• therapy
• intensive care units
• drug therapy
• catheters

Subject Categories:

• Medicine and Medical Research
• Pharmacology

Distribution Statement:

APPROVED FOR PUBLIC RELEASE