Abstract | The use of intrathecal morphine is an effective and simple method for post-operative pain management in a variety of operative procedures including caesarean section, transabdominal hysterectomy, cholecystectomy, hip surgery, aortic aneurysm surgery, and thoracotomy. Intrathecal morphine in the elderly patient in whom systemic opioid side-effects are more pronounced, provides an attractive alternative. It also gives the added possible advantage of reduced metabolic response to surgery and anaesthesia, both of which increase morbidity and mortality. In the paper, it presents a prospective, randomised, double blind study which examines the efficacy of intrathecal morphine for post-operative analgesia in Chinese patients undergoing surgery with fractured hips. |
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