Intrathecal morphine reduces blood loss during idiopathic scoliosis surgery: retrospective study of 256 pediatric cases

• Published in: Pediatric anesthesia Vol. 23; no. 3; pp. 265 - 270
• Main Authors: Lesniak, Aleksandra B., Tremblay, Pierre, Dalens, Bernard J., Aucoin, Maryse, Mercier, Pierre
• Format: Journal Article
• Language: English
• Published: France Blackwell Publishing Ltd 01.03.2013; Wiley Subscription Services, Inc
• Subjects: Adolescent; Analgesics, Opioid - administration & dosage; Analgesics, Opioid - therapeutic use; Anesthesia; anesthesiology; blood loss; Blood Loss, Surgical - prevention & control; Child; Cohort Studies; Female; Hemodynamics - drug effects; Hemoglobins - analysis; Hemoglobins - metabolism; Humans; injections; Injections, Spinal; Isotonic Solutions - therapeutic use; Male; Monitoring, Intraoperative; morphine; Morphine - administration & dosage; Morphine - therapeutic use; Operative Blood Salvage; pediatrics; Plasma Substitutes - therapeutic use; Retrospective Studies; scoliosis; Scoliosis - surgery; spinal; Spinal Fusion; surgical; Treatment Outcome

Summary Background This retrospective cohort study was designed to assess the impact of intrathecal morphine compared with no intrathecal morphine on blood loss and on hemodynamic stability during surgery for pediatric idiopathic scoliosis correction. Methods A retrospective review was done of 256 a...