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 89
- Downloads 0
Ossification of the Posterior Longitudinal Ligament: A Case Report of Difficult Intubation in a Resource Limited Setting
Ossification of the posterior longitudinal ligament (OPLL) is a rare and often unrecognized cause of difficult intubation that is most commonly found in elderly Asian males. This case report will describe the airway mana...
Innovations in Anesthesia: Past, Present, and Future
Innovations in Anesthesia: Past, Present, and Future
Acute Hypotensive Transfusion Reaction in a Patient Taking Angiotensin Converting Enzyme Inhibitors Therapy: A Case Report and Literature Review
Acute Hypotensive Transfusion Reaction (AHTR) is characterized by the sudden onset and isolated drop in blood pressure which resolves a few minutes after discontinuing the transfusion without additional therapy. The path...
Spinal Anesthesia as an Alternative to General Anesthesia for Emergency Laprotomies in ASA Grade III And IV Patients. An Observational Study
Background: Prevalence of smoking and excessive consumption of alcohol is very high in rural parts of Telangana. The common complications due to this habit may lead to development of COPD in smokers , as well as developm...
Retrospective Assessment Of Postoperative Pain Control With Intravenous Or Epidural Patient-Controlled Analgesia After Orthopedic, General And Plastic Surgery
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, m...