• Can J Anaesth · Mar 1989

    Review

    Respiratory depression and spinal opioids.

    • R C Etches, A N Sandler, and M D Daley.
    • Department of Anaesthesia, Toronto General Hospital, Ontario.
    • Can J Anaesth. 1989 Mar 1; 36 (2): 165-85.

    AbstractAdministration of epidural and intrathecal opioids may provide excellent postoperative analgesia, but a minority of patients will suffer dangerous respiratory depression. This review discusses the detection and measurement of respiratory depression and summarizes the relevant literature as it pertains to epidural and intrathecal opioid administration. The respiratory depressant effects and pharmacokinetics of spinal opioids are reviewed. The clinical implications and areas of future investigation are discussed.

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