Retrospective Assessment Of Postoperative Pain Control With Intravenous Or Epidural Patient-Controlled Analgesia After Orthopedic, General And Plastic Surgery
Journal Title: International Journal of Anesthesiology & Research (IJAR) - Year 2017, Vol 5, Issue 2
Abstract
Aim: Patient-controlled analgesia methods are more effective than conventional analgesia methods for the management of postoperative pain. Patient-controlled analgesia is often preferred as it has less sedative effect, minimum complications, high patient satisfaction and has positive effects on the healing process of patients. The aim of this study was to research patientcontrolled analgesia methods that were used for postoperative pain control in a training and research hospital. Material And Methods: Retrospectively we reviewed the records of patients who were ASA physical status I-II-III, older than 18 years and underwent procedures for orthopedic surgery, general surgery, neurosurgery, ear, nose and throat surgery, chest surgery, urology, hand surgery or plastic surgery in Numune Training and Research Hospital. Results: A total of 449 patients were administered patient-controlled analgesia in Numune Training and Research Hospital. 67% of patients were administered patient controlled analgesia via epidural vs. 33% of patients administered patient controlled analgesia via intravenous route. Patients' age gender, ASA class, primary disease requiring surgery, method of surgery, duration of surgery, anesthetic technique, drugs used for postoperative analgesia, the amount of analgesic drug consumption, the time to administration of analgesic drug, VAS scores at bolus time, the postoperative analgesic consumption in the first 24 hours blood pressure, heart rate, respiratory rate, side effects, and patient satisfaction level were evaluated. Conclusions: As a result of the study on 449 patients administered patient-controlled analgesia in Numune Training and Research Hospital between April 2011 and December 2011, the administration of patient controlled analgesia via epidural was preferred over than the administration of patient controlled analgesia via intravenous route.
Authors and Affiliations
Güvenç Doğan
Keywords
Related Articles
- EP ID EP279596
- DOI -
- Views 83
- Downloads 0
Acromegaly, Endocrine Dysfunction and Polyostotic Fibrous Dysplasia Associated With Mccune-Albright Syndrome: Anesthetic Considerations
McCune-Albright Syndrome is a rare disorder affecting the skin, bones and endocrine tissues. It is characterized by the presence of café au lait spots, polyostotic fibrous dysplasia, and autonomous endocrine hyperfunctio...
I-Gel and Classic LMA - a Comparitive Study in Anaesthetized and Paralyzed Patients
This study was undertaken in 50 ASA 1 and 2 patients of age group 18 to 60 years undergoing elective surgeries of short duration. Patients were randomly divided into 2 groups of 25 each for i-gel and classic LMA. Paramet...
Role of Transversus Abdominis Plane (TAP) Block in Day Case Laparoscopic Cholecystectomy (DCLC) - A Prospective Study
Background: Despite being accepted as a standard day case procedure, day case rates for laparoscopic cholecystectomy (LC) remain low. Post-operative pain, nausea and vomiting continue to be important obstacles to early d...
NASA Task Load Index Scale to Evaluate the Cognitive Workload during Cardiac Anesthesia Based Simulation Scenarios
Simulation-based education is an important tool for anesthesiology educators given the work hour restrictions and limited exposure of anesthesiology residents to high acuity cardiac cases. Cognitive load is key to learni...
Anti-Xa Assay Correlation to the Efficacy and Safety of Enoxaparin in the Treatment of Pulmonary Embolism
Background: Enoxaparin is one of the LMWH that has been used for long time in the treatment of acute pulmonary embolism. In this study, we will monitor anticoagulant therapy by anti-Xa assay and correlate its level to th...