AORN journal
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Clinical Trial Controlled Clinical Trial
Epidural morphine infusion. Continuous pain relief.
Epidural morphine infusion is an effective and relatively safe route for postoperative analgesia. Lanz , Theiss , Reiss , and Sommer performed research supporting the use of epidural morphine. Following lumbar epidural anesthesia for orthopedic operations, 174 patients underwent the following study. ⋯ Sympathetic block was only partial; patients still noticed pressure due to a dressing or cast. There was no motor blockade and active mobilization occurred earlier. Following epidural morphine, alertness was heightened, patients were more cooperative, and respiratory depression and postoperative pneumonia were less than after systemic administration of narcotics.(ABSTRACT TRUNCATED AT 250 WORDS)
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Careful literature review revealed little information on the safety of using an operating room during major renovation. This study sought to determine if an operating room under renovation increases infectious morbidity in the surgical wound. The observations of this study indicate that it is possible to use a properly ventilated operating room undergoing renovation if the precautions of controlling construction traffic, sealing off the construction area from the OR in use, fastidious housekeeping, environmental culturing, and careful surveillance of wound infections are used.