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British Journal of Anaesthesia, 2004, Vol. 92, No. 3 448-449
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Correspondence

Dose of intrathecal diamorphine for Caesarean section and position for spinal insertion

S. M. Kinsella1, N. A. Barrett2, D. P. Dob2, E. R. Ball2, H. R. Jones2, S. Saravanan3 and G. Lyons3

1 Bristol, UK 2 London, UK 3 Leeds, UK

The first 10% of the full text of this article appears below.

Editor—Dr Saravanan and colleagues suggest that 0.4 mg is the optimum dose of intrathecal diamorphine for Caesarean section.1 Although not necessarily disagreeing with this conclusion, I would like to draw attention to the potential influence of patient position at insertion of the spinal on intraoperative anaesthesia and postoperative analgesia.

Skilton and colleagues2 found a mean time to first analgesia of 14 h with diamorphine 0.3 mg when the spinal was placed with the woman in the lateral position. This . . . [Full Text of this Article]


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