THE USE OF MORPHINE IN SPINAL ANESTHESIA FOR ORTHOPEDIC SURGERY
DOI:
https://doi.org/10.47820/recima21.v4i6.3392Keywords:
morphine in spinal anesthesia for orthopedicAbstract
The present study aimed to analyze the use of morphine in spinal anesthesia for orthopedic surgery. This is an integrative review of the literature. The literature search was performed in the following databases: Scientific Electronic Library Online (SciELO) Web of Science and National Library of Medicine (PubMed) and Latin American and Caribbean Literature in Health Sciences (LILACS). In this review, we selected eight studies that answered the guiding research question. The results of the studies showed that spinal anesthesia is an anesthetic technique used in orthopedic surgeries, where drugs are administered into the subarachnoid space of the spinal cord. Morphine, an opioid analgesic, is often used as an adjunct in this type of anesthesia. It acts on the opioid receptors of the central nervous system, reducing the transmission of the pain signal. When added to the anesthetic solution of spinal anesthesia, it provides prolonged postoperative pain relief, and this localized delivery to the spinal cord offers several advantages. In addition to effectively relieving pain, it reduces the need for other postoperative analgesics, improving patient comfort and facilitating recovery. The use of morphine in spinal anesthesia can cause side effects such as nausea, vomiting, itching, urinary retention, and respiratory depression. Therefore, the dose should be carefully evaluated by the anesthesiologist, considering the characteristics of the patient and the type of surgery. We conclude that although morphine offers significant analgesic benefits, it is necessary to balance these benefits with potential side effects to ensure the safety and efficacy of anesthesia.
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