A Prospective Observational Study of High-Dose Intrathecal Diamorphine in Laparoscopic Bariatric Surgery

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We have demonstrated that neuraxial blockade is a simple, practical, and feasible technique to adopt. Our case series demonstrated a high level of patient acceptability.

50 patients were included. 11 patients (22%) had a diagnosis of obstructive sleep apnea (OSA).

All patients had a working spinal anaesthetic with thirty-nine insertions (78%) on the first attempt.

Pain scores were similar to previously published data where they were found to be superior to a non-spinal analgesic regime.

The median 24 h postoperative oral morphine equivalent consumption was 5 mg.

8 patients (16%) required urinary catheterisation.

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