Intrathecal Morphine for Pediatric Spine Surgery Surgical & Technical Tips

Abstract

Multiple studies have shown pain control benefits of intrathecal (IT) morphine, dating as far back as the 1980s.  Other benefits of IT morphine include decreased blood loss, and improved bowel function. At many institutions, the procedure is performed by the anesthesiologist preoperatively, and can take up to 30 minutes with positioning changes and logistics. We present a technique of IT morphine injection performed by the surgeon immediately prior to incision after the patient is prepped and draped. Compared to performing an IT injection in lateral position this technique has the benefits of minimizing time under anesthesia and avoiding an additional positioning of an anesthetized patient.