Intrathecal morphine for postoperative analgesia:Current trends

• 作者: Kalindi A DeSousa Rajkumar Chandran
• 来源期刊: 世界麻醉学杂志
• 学科: 医学
• 关键词: INTRATHECAL MORPHINE MORPHINE POST-OPERATIVE ANALGESIA INTRATHECAL OPIOIDS
• 年，卷（期）: 2014,（3）
• 页码范围: 191-202
• 页数: 12页
• 分类号: R

摘要

The practice of anesthesiology has always been governed by evidence-based medicine.The quick turnover rate of patients in the operating room and patient safety and satisfaction,have also further changed the way we practice anesthesia.The use of intrathecal(IT)opiates as an effective form of postoperative pain relief has been established for many years.Morphine was the first opioid used by IT route.In clinical practice,morphine is regarded as the gold standard,or benchmark,of analgesics used to relieve intense pain.Perhaps for this reason,IT morphine has been used for over 100 years for pain relief.IT morphine is one of the easiest,costeffective and reliable techniques for postoperative analgesia and technical failures are rare.And yet there is no consensus amongst anesthesiologists regarding the dose of IT morphine.Like all other methods of pain relief,IT morphine also has some side effects and some of them are serious though not very common.This review article looks into some of the key aspects of the use of IT morphine for post-operative analgesia and various doses for different procedures are discussed.This article also describes the side effects of IT morphine and how to treat and prevent them.