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Variables of patient‐controlled analgesia 4: the relevance of bolus dose size to supplement a background infusion
Author(s) -
OWEN H.,
KLUGER M. T.,
PLUMMER J. L.
Publication year - 1990
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1990.tb14382.x
Subject(s) - medicine , morphine , anesthesia , bolus (digestion) , analgesic , on demand , surgery , multimedia , computer science
Summary A range of self‐administered demand doses of morphine (0.4, 0.7 and 1.0 mg) were prescribed to supplement a fixed‐rate infusion (1.5 mg/hour) for pain control after gynaecological surgery. The number of demand doses administered during the first 25 hours after surgery was not significantly influenced by size of demand dose. There was a significant linear trend to increasing amount of demanded morphine with increasing bolus size. These results cast doubt on the usefulness of the concept of a minimum effective analgesic concentration of morphine.