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Clin. Orthop. Relat. Res. · May 1990
Colonic pseudoobstruction associated with patient-controlled analgesia after total joint arthroplasty.
- H G Chambers, S M Silver, and A L Bucknell.
- Orthopaedic Surgery Service, Brooke Army Medical Center, Fort Sam Houston, Texas 78234.
- Clin. Orthop. Relat. Res. 1990 May 1(254):255-60.
AbstractPatient-controlled analgesia (PCA) is a concept that permits patients to administer a prescribed dose of narcotic to themselves when they experience pain. Six patients developed colonic pseudoobstruction after the use of morphine sulfate administered via a PCA infuser. Early recognition and prompt treatment make this a transient, reversible illness. Treatment includes discontinuing the use of the PCA morphine, eliminating oral intake, ensuring adequate hydration and electrolyte balance, placing a nasogastric tube, rolling the patient, and closely observing for signs and symptoms of worsening colonic distention and possible rupture.
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