Background
pain, lung tumors, trauma
LUNG TUMORS, COMPLICATIONS, POSTOPERATIVE COMPLICATIONS
Video-assisted thoracoscopic surgery (VATS) has emerged as the principal surgical intervention for lung tumors [The evolution of surgical techniques and the integration of robotics have substantially reduced the extent of surgical trauma, supplanting traditional open surgery with less invasive methods. A solitary intrathecal injection of small-dose morphine is straightforward to administer and capable of delivering profound analgesia at low doses, accompanied by a scant number of postoperative complications. However, the delayed onset of intrathecal morphine, with its peak effect materializing after 6 h [The objective of our research was to assess the analgesic effectiveness of intrathecal morphine in patients undergoing VATS. We specifically confirmed that the combination of intrathecal morphine and bupivacaine surpasses intrathecal morphine alone in pain relief. Additionally, we observed that this combination diminished the intraoperative consumption of remifentanil and lessened the requirement for rescue analgesics during the first 48 h post-surgery. Furthermore, we documented the complications associated with each analgesic approach.