To the Editor

It is the intent of this supplemental communication to clarify an issue raised in our previous Risk Management/QA program description that appeared in the Newsletter (Summer 1994, page 18) and commented upon by Dr. Abouleish (Winter Newsletter, page 50). Our guideline dealing with avoidance of intrathecal opioids applies to surgical patients only and is not intended to apply to obstetric or chronic pain patients. We hope that this information clarifies our position and we apologize for any confusion that may have been accidentally created.

Casey D. Blitt, M.D.

Old Pueblo Anesthesia Tucson, AZ