Document Detail

Intrathecal morphine reduces blood loss during idiopathic scoliosis surgery: retrospective study of 256 pediatric cases.
MedLine Citation:
PMID:  23301926     Owner:  NLM     Status:  Publisher    
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 anesthetic charts who underwent scoliosis surgery between January 1993 and February 2012 by the same orthopedic surgeon. 128 patients were operated on before 2003 without intrathecal morphine (NITM group) and 128 were treated later on with intrathecal morphine (ITM group).Primary endpoints were a 20% decrease in blood loss in the ITM group and hemodynamic stability. RESULTS: Both groups were similar for age, girl/boy ratio, weight and duration of surgery. Blood loss was significantly greater in the NITM group: 1793.1 ± 964.3 ml vs 655.8 ± 323.0 ml (P < 0.0001). Overall mean decrease in blood loss was 63.4% between the NITM group and the ITM group. A significantly (P < 0.0001) greater number of patients from the NITM group (122) received blood transfusions as compared to the ITM group (30). The volume of blood transfused per patient was significantly greater in the NITM group (701.4 ± 492.5 ml) than in the ITM group (293.7 ± 170.9 ml) (P < 0.0001). Heart rate was stable intra-operatively in both groups. Variation in blood pressure >20% of baseline occurred more frequently in the NITM group (28.1%) than in the ITM group (14.8%) (P = 0.01). CONCLUSIONS: These data demonstrate that intrathecal morphine in pediatric surgical scoliosis correction significantly decreases intra-operative blood loss and transfusions and enhances blood pressure stability.
Aleksandra B Lesniak; Pierre Tremblay; Bernard J Dalens; Maryse Aucoin; Pierre Mercier
Related Documents :
21417846 - Numerical simulation of hemodynamics in the ascending aorta induced by different aortic...
822806 - Probable progress in the therapy of organophosphate poisoning: extracorporeal hemodialy...
3626546 - Blood flow and distribution in the canine pancreas.
23059706 - Flow synthesis of arylboronic esters bearing electrophilic functional groups and space ...
14512026 - Circulating blood island-derived cells contribute to vasculogenesis in the embryo proper.
12423196 - The relationship between selected blood lactate thresholds and match performance in eli...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-10
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  -     ISSN:  1460-9592     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 Blackwell Publishing Ltd.
Department of Anesthesiology and Department of Surgery, Centre Hospitalier Universitaire de Québec, Québec, QC, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  High blood pressure and cognitive decline in mild cognitive impairment.
Next Document:  Urinary nerve growth factor level in children with neurogenic bladder due to myelomeningocele.