Publication details

Spinální morfin up­‑to­‑date

Title in English Spinal morphine up-to-date
Authors

BURŠÍK Denis ROMANOVA T. VODIČKA Vojtěch JOR O. MÁCA Jan

Year of publication 2024
Type Article in Periodical
Magazine / Source Anesteziologie a intenzivní medicína
MU Faculty or unit

Faculty of Medicine

Citation BURŠÍK, Denis, T. ROMANOVA, Vojtěch VODIČKA, O. JOR and Jan MÁCA. Spinální morfin up­‑to­‑date (Spinal morphine up-to-date). Anesteziologie a intenzivní medicína. Praha: Česká lékařská společnost J.E. Purkyně, 2024, vol. 35, No 3, p. 155-161. ISSN 1214-2158. Available from: https://dx.doi.org/10.36290/aim.2024.030.
web https://aimjournal.cz/artkey/aim-202403-0002_spinal-morphine-up-8209-to-8209-date.php
Doi http://dx.doi.org/10.36290/aim.2024.030
Keywords opioids; intrathecal morphine; multimodal analgesia; anaesthesia in the elderly
Description Over many decades, spinal (intrathecal) opioid administration has become a proven method of analgesia forthe perioperative period. However, in clinical practice, it is confronted with concerns about potential complications, the need for increased postoperative monitoring, and the unavailability of a relevant commercial product on the Czech market. Pathophysiological interpretation of adverse effects and their potential prevention is evolving as research continues. The implementation of spinal opioids in clinical practice is likewise changing. When used appropriately, it is a safe method to improve the postoperative course of the full spectrum of surgical procedures across age groups. Thus, healthcare facilities with in- dividually prepared morphine for intrathecal administration can enjoy the benefits of not only quality patient analgesia but also the minimization of peripheral adverse effects of opioids. This article aims to highlight new findings on the use of spinal morphine. It also focuses on the preventability of its adverse effects and the specifics of its use in the elderly population.

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