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KMID : 0356920150680030261
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Korean Journal of Anesthesiology
2015 Volume.68 No. 3 p.261 ~ p.266
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A comparison of oxycodone and fentanyl in intravenous patient-controlled analgesia after laparoscopic hysterectomy
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Kim Nan-Seol
Kang Kyu-Sik
Yoo Sie-Hyeon
Chung Jin-Hun
Chung Ji-Won
Seo Yong-Han
Chung Ho-Soon
Jeon Hye-Rim
Gong Hyung-Youn
Lee Hyun-Young
Mun Seong-Taek
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Abstract
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Background: We planned to compare the effect of intravenous oxycodone and fentanyl on post-operative pain after laparoscopic hysterectomy.
Methods: We examined 60 patients were randomized to postoperative pain treatment with either oxycodone (n = 30, Group O) or fentanyl (n = 30, Group F). The patients received 10 mg oxycodone/100 μg fentanyl with ketorolac 30 mg before the end of anesthesia and then continued with patient-controlled analgesia for 48 h postoperatively.
Results: The accumulated oxycodone consumption was less than fentanyl during 8, 24 and 48 h postoperatively. Numeric rating score of Group O showed significantly lower than that of Group F during 30 min, 2, 4, 8 and 24 h postoperatively. The incidences of adverse reactions were similar in the two groups, though the incidence of nausea was higher in the Group O during the 24 and 48 h postoperative period.
Conclusions: Oxycodone IV-PCA was more advantageous than fentanyl IV-PCA for laparoscopic hysterectomy in view of accumulated oxycodone consumption, pain control and cost beneficial effect. However, patient satisfaction was not good in the group O compared to group F.
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KEYWORD
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Fentanyl, Oxycodone, Postoperative pain
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