Variables of patient-controlled analgesia 4: the relevance of bolus dose size to supplement a background infusion

Anaesthesia. 1990 Aug;45(8):619-22. doi: 10.1111/j.1365-2044.1990.tb14382.x.

Abstract

A range of self-administered demand doses of morphine (0.4, 0.7 and 1.0 mg) were prescribed to supplement a fixed-rate infusion (1.5 mg/hour) for pain control after gynaecological surgery. The number of demand doses administered during the first 25 hours after surgery was not significantly influenced by size of demand dose. There was a significant linear trend to increasing amount of demanded morphine with increasing bolus size. These results cast doubt on the usefulness of the concept of a minimum effective analgesic concentration of morphine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Genital Diseases, Female / surgery
  • Humans
  • Infusions, Intravenous
  • Morphine / administration & dosage*
  • Morphine / therapeutic use
  • Pain, Postoperative / drug therapy*
  • Self Administration
  • Time Factors

Substances

  • Morphine