Evidence map›Paper›PMID 35311036›Full record

SynthesisPain research & management2022

Serious Adverse Events after a Single Shot of Intrathecal Morphine: A Case Series and Systematic Review.

Mark V Koning, Elmer Reussien, Beatrijs A N Vermeulen, Svenja Zonneveld, Elsbeth M Westerman, Jurgen C de Graaff, Bernard M Houweling

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Pain research & management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Mark V KoningDepartment of Anesthesiology and Critical Care, Rijnstate Hospital, Arnhem, Netherlands.ORCID 0000-0002-5465-3504
Elmer ReussienDepartment of Anesthesiology, Haaglanden Medical Center, The Hague, Netherlands.
Beatrijs A N VermeulenDepartment of Anesthesiology, Haaglanden Medical Center, The Hague, Netherlands.
Svenja ZonneveldDepartment of Clinical Pharmacy, Haaglanden Medical Center, The Hague, Netherlands.
Elsbeth M WestermanDepartment of Clinical Pharmacy, Haaglanden Medical Center, The Hague, Netherlands.
Jurgen C de GraaffDepartment of Anesthesiology, Erasmus MC, Academic Medical Center Rotterdam, Rotterdam, Netherlands.
Bernard M HouwelingDepartment of Anesthesiology, Haaglanden Medical Center, The Hague, Netherlands.
Medisch Centrum Haaglanden · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The dose of intrathecal morphine is important because of its narrow therapeutic range. Due to a compounding error, pharmacy-compounded, ready-to-use syringes contained 1 mg ml Methods: A retrospective case series described all six patients that received the erroneous morphine intrathecally for analgesia after laparoscopic segmental colonic resections. The patients' charts were reviewed for the occurrence, timing, duration and management of adverse events, the vital signs at the night after surgery, and length of hospital stay. A systematic review investigated characteristics of serious adverse events after intrathecal morphine in a perioperative setting. Results: Four patients had a serious adverse event, which was respiratory depression combined with somnolence ( Conclusion: This study reveals that respiratory depression and somnolence are the predominant serious adverse events after intrathecal morphine in a perioperative setting and demonstrated a large variation in the presentation of symptoms.

Indexed as

AnalgesiaMorphineHumansInjections, SpinalNaloxoneRetrospective StudiesMorphineNaloxone

Identifiers

PMID35311036
PMCPMC8930253
OpenAlexW4220727987

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.