Morphine for management of refractory dyspnoea

doi:10.1136/bmj.327.7426.1288-b

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Opiates should be used with caution

James W Berrill, house officer, medicine (James_w_berrill@hotmail.com),
Seamus J Linnasne, consultant respiratory physician

Llandough Hospital, Penarth, Cardiff CF64 2XX

EDITOR–Abernethy et al identify that hypercapnia and respiratory depression are impediments to the use of opiates in patients with chronic obstructive pulmonary disease, yet they do little to allay those concerns in their report.1

Most (88%) of their patients were reported to have chronic obstructive pulmonary disease. This is …