- Anesthesia and Pain Management
- Pain Management and Opioid Use
- Pediatric Pain Management Techniques
- Opioid Use Disorder Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Sedative Agents
- Spine and Intervertebral Disc Pathology
- Musculoskeletal pain and rehabilitation
- Nausea and vomiting management
- Pain Mechanisms and Treatments
- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Pain Management and Placebo Effect
- Pharmaceutical Practices and Patient Outcomes
- Cancer, Stress, Anesthesia, and Immune Response
- Diet and metabolism studies
- Themes in Literature Analysis
- Cardiac Arrest and Resuscitation
- Medical History and Innovations
- Pharmacological Effects and Toxicity Studies
- Dental Anxiety and Anesthesia Techniques
- Obstructive Sleep Apnea Research
- Trauma Management and Diagnosis
- Thermal Regulation in Medicine
- Shoulder and Clavicle Injuries
Central Adelaide Local Health Network
2024
Royal Adelaide Hospital
2011-2024
The University of Adelaide
2006-2024
Nelson Marlborough Institute of Technology
2015
Royal Prince Alfred Hospital
2011
The University of Melbourne
2011
The University of Sydney
2011
St Vincent's Hospital
2011
Victorian Curriculum and Assessment Authority
2011
Sir Charles Gairdner Hospital
2011
Summary This international multidisciplinary consensus statement was developed to provide balanced guidance on the safe peri‐operative use of opioids in adults. An panel healthcare professionals evaluated literature relating postoperative opioid‐related harm, including persistent opioid use; opioid‐induced ventilatory impairment; non‐medical diversion and dependence; driving under influence prescription opioids. Recommended strategies reduce harm include pre‐operative assessment risk an...
The dose of opioid prescribed for postoperative pain relief has traditionally been based on the weight patient. Although a reduction in is often suggested elderly patients over 70 years age, age-related alterations to are generally not considered younger patients. records 1010 patients, under old, morphine via patient-controlled analgesia (PCA) after major operations were examined see what factors might best predict amount used first 24 h surgery. Factors included sex, weight, operative...
Meperidine has been used to suppress postanesthesia shivering. However, its efficacy date only assessed by observation of visible We measured the effect meperidine on oxygen consumption (VO2), carbon dioxide production (VCO2) and pulmonary gas exchange in 14 otherwise healthy patients shivering after general anesthesia. successfully suppressed all was associated with significant decreases VO2, VCO2 minute ventilation (VE) but not return basal levels. Arterial PCO2 levels remained unchanged...
The number of patients in buprenorphine opioid substitution therapy (BOST) or methadone (MOST) programs is increasing. If these require surgery, it generally agreed that should be continued perioperatively. While some also recommend continued, concerns may limit the analgesic effectiveness full mu-opioid agonists have led others to suggest cease before surgery. However, no good evidence exists for either course action. Therefore, we undertook a retrospective cohort study comparing pain...
The Acute Pain Service began at the Royal Adelaide Hospital in April 1989. Funding, education programmes, policies, procedures, protocols, techniques (particularly patient-controlled analgesia, epidural opioid analgesia and subcutaneous morphine therapy) daily organisation of service are described this article, experience with 1053 patients referred to during first year operation is reported. occurrence major complications was small. Mild-to-moderate respiratory depression occurred four...
From nursery rhymes to epic fantasy, from picture books challenging novels for adolescents, reading is a crucial activity in the cultural and psychological formation of children. In The Oxford Companion Australian Children's Literature, Stella Lees Pamela Macintyre examine legacy contemporary achievement children's writers. This encyclopaedic reference work covers earliest writings nineteenth century remarkable growth publishing that followed Second World War. encompasses most notable...
Pain relief using intermittent subcutaneous injections of an opioid (e.g. morphine) avoids the need for venous access and does not require complex or expensive pumps devices. Although data on pharmacokinetics morphine exist, there are no comparable fentanyl in healthy volunteers. Therefore, aim this study was to characterize 200 microg administered as a single bolus dose via route opioid-naive volunteers.Nine male volunteers were given more than 30 s. Opioid effects blocked by administration...
The pharmacokinetics of morphine in venous blood after a 5 mg bolus dose via an indwelling subcutaneous cannula were characterised 22 elderly patients undergoing elective major surgery. In subgroup seven patients, the kinetics also second administered 180 min first dose. Blood concentrations following single highly variable — coefficients variation C max , T and AUC up to ( ) 54, 37 39%, respectively, with mean values 86.6 ng.ml −1 15.9 3954 respectively. These for not statistically...