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Morphine analgesia in patients with acute appendicitis: a randomised double-blind clinical trial
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  • Published on:
    Is the surgeon be consealed with the dianogsis?

    Dear authors:

    I am impressed with your article, because in our country, the major part of surgeons still believe analgesics would mask the physical findings and delay the time of accurate diagnosis.

    In your article, I have a question that patients were examined by surgeons not involved in their care while they were waiting for operation. I wondered if the surgeons had already known the diagnosis of patients or...

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    Conflict of Interest:
    None declared.
  • Published on:
    Ethics and analgesia
    • Giles N Cattermole, Assistant Professor
    • Other Contributors:
      • Colin A Graham, Timothy H Rainer

    We were interested to read the article by Amoli et at [1] confirming that morphine reduces pain in patients with acute appendicitis without affecting diagnostic accuracy. Although the trial was said to be carried out according to the Declaration of Helsinki [2], we were concerned that emergency department patients with a clinically convincing presentation of acute appendicitis sufficient to warrant booking for appendicect...

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    Conflict of Interest:
    None declared.