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March 28, 2025HealthcareOpen Access

Intrathecal Morphine in Major Abdominal and Thoracic Surgery: Observational Study

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Key result

Intrathecal morphine administration in major abdominal and thoracic surgery was safe, with no cases of respiratory depression, a 2.07% incidence of atelectasis, and a 1.86% need for respiratory support.

Why the study?

Optimal postoperative pain control accelerates recovery after major surgery, and this study aimed to establish the safety of intrathecal morphine regarding respiratory complications and their association with underlying comorbidities.

Is intrathecal morphine safe in terms of respiratory complications for patients undergoing major abdominal and thoracic surgery?

Population

484 patients undergoing major abdominal or thoracic surgical procedures

Comparison

Intrathecal morphine administration across surgical types

Design

Retrospective observational study

Follow-up

90 days

Authors

SGS. GonzálezUniversidade de Santiago de CompostelaAOAntía Osorio-LópezBBBorja Mugabure BujedoBiogipuzkoa Health Research Institute

Discussion

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Member takes

Overview

May support respiratory safety of intrathecal morphine in major surgery; extends observational data but leaves open need for RCTs.

Study Design

Type

Observational (n=484)

Multicenter

No

Structured PICO

Is intrathecal morphine safe in terms of respiratory complications for patients undergoing major abdominal and thoracic surgery?

P
Population
484 adult patients (mean age 66 years, 40% female) undergoing major abdominal, urological, or thoracic surgery who received intrathecal morphine, evaluated retrospectively for up to 90 days.
E
Exposure
Intrathecal morphine
O
Outcome
Safety of the technique in terms of the incidence of early and late respiratory depression, atelectasis, the need for respiratory support, and the possible association of these complications with the presence of respiratory pathologies (COPD, SAHS), obesity, or smoking habitsafety

Intrathecal morphine is a safe technique for acute postoperative pain management in major abdominal and thoracic surgery, with no observed cases of respiratory depression.

Limitations

  • Retrospective design with potential for information loss during data collection
  • Single-center study
  • Lack of a control group comparing intrathecal morphine to other analgesic techniques

Cite This Study

González et al. (2025) conducted an observational in Major abdominal and thoracic surgery (n=484). Intrathecal morphine was evaluated on Incidence of early and late respiratory depression. Intrathecal morphine administration in major abdominal and thoracic surgery was safe, with no cases of respiratory depression, a 2.07% incidence of atelectasis, and a 1.86% need for respiratory support.

synapsesocial.com/papers/6a9afe20e99b6599228b3ba2https://doi.org/10.3390/healthcare13070761
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Postoperative Analgesia and Recovery Course After Major Colorectal Surgery in Elderly Patients: A Randomized Comparison Between Intrathecal Morphine and Intravenous PCA Morphine2006 · 73 citations
  2. 2Postoperative mortality and complications after radical cystectomy for bladder cancer in Quebec: A population-based analysis during the years 2000-20092014 · 59 citations
  3. 3Risks and side‐effects of intrathecal morphine combined with spinal anaesthesia: a meta‐analysis2009 · 294 citations
  4. 4Prolonged air leak after pulmonary lobectomy2019 · 10 citations