Effective Switching from High Concentration Morphine Citrate to High Concentration Hydromorphone Citrate for Subcutaneous Induration and Uncontrollable Pain: A Case Report

Physical compatibility of high-concentration bupivacaine with hydromorphone, morphine, and fentanyl.

Regional citrate anticoagulation in cardiac surgery patients at high risk of bleeding: a continuous veno-venous hemofiltration protocol with a low concentration citrate solution

INTRODUCTION Regional citrate anticoagulation (RCA) is a valid option in patients at high risk of bleeding who are undergoing continuous renal replacement therapy (CRRT). The aim of this study was to evaluate, in critically ill patients with severe acute kidney injury following cardiac surgery, the efficacy and safety of RCA-continuous veno-venous hemofiltration (CVVH) using a low concentration...

Citrate pharmacokinetics and calcium levels during high-flux dialysis with regional citrate anticoagulation

BACKGROUND Regional citrate anticoagulation is a very effective anticoagulation method for haemodialysis. However, it is not widely used, primarily due to the risk of hypocalcaemia. We studied citrate and calcium kinetics to better understand safety aspects of this anticoagulation method. METHODS During 15 haemodialysis treatments with a calcium-free dialysis solution, citrate was infused pre...

O-28: High Maternal Hemoglobin Concentration and Preeclampsia

Background: High maternal hemoglobin concentration has been increasingly linked to poor pregnancy outcomes in recent years. This study was aimed to determine whether high maternal hemoglobin (Hb) in first trimester is associated with preeclampsia. Materials and Methods: In 2009 a retrospective study was conducted and demographic and obstetric records of 1513 low risk pregnant mother registered ...

Stability of Fentanyl Citrate, Hydromorphone Hydrochloride, Ketamine Hydrochloride, Midazolam, Morphine Sulfate, and Pentobarbital Sodium in Polypropylene Syringes

PURPOSE Determine the stability of fentanyl 10 mcg/mL in 0.9% sodium chloride, fentanyl 10 mcg/mL in 5% dextrose, fentanyl 50 mcg/mL, hydromorphone 100 mcg/mL in 0.9% sodium chloride, ketamine 10 mg/mL, midazolam 0.4 mg/mL in 5% dextrose, midazolam 5 mg/mL, morphine 1 mg/mL in 0.9% sodium chloride, morphine 1 mg/mL in 5% dextrose, and pentobarbital 50 mg/mL when stored as single drug entities a...