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Papers of the Week


2020 May


Obes Surg


30


5

A Prospective Observational Study of High-Dose Intrathecal Diamorphine in Laparoscopic Bariatric Surgery: a Single-Centre Experience.

Authors

Wojcikiewicz T, Nkhoma J, James E, Johannsson H, Cousins J, Kynoch M
Obes Surg. 2020 May; 30(5):1814-1819.
PMID: 32006237.

Abstract

Post-operative pain management following laparoscopic bariatric surgery can be challenging. There are concerns regarding the use of opioids. The rate of cardiorespiratory problems following neuraxial opioids is unclear. There is little published data on their use in bariatric surgery. This study aimed to assess technique feasibility, pain outcomes, patient acceptability, and the side effects and complications of a 'high-dose' (1.0 mg) intrathecal diamorphine technique for patients undergoing primary laparoscopic bariatric surgery.