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

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 patient's 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.

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Document Details

Document Type
Technical Report
Publication Date
Aug 27, 2017
Accession Number
AD1038593

Entities

People

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

Organizations

  • 59th Medical Wing

Tags

DTIC Thesaurus Topics

  • Abstracts
  • Analgesia
  • Biomedical Research
  • Burns
  • Department Of Defense
  • Health Services
  • Intellectual Property
  • Intensive Care Units
  • Law
  • Materials
  • Medical Personnel
  • Pain
  • Pain Management
  • Therapy

Fields of Study

  • Medicine

Readers

  • Neurotrauma and Rehabilitation Medicine.
  • Trauma or Military Medicine