Spinální morfin up‑to‑date
Title in English | Spinal morphine up-to-date |
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Authors | |
Year of publication | 2024 |
Type | Article in Periodical |
Magazine / Source | Anesteziologie a intenzivní medicína |
MU Faculty or unit | |
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. |