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KMID : 0363120140270030271
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Korean Journal of Pain
2014 Volume.27 No. 3 p.271 ~ p.277
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Intravenous Patient-controlled Analgesia Has a Positive Effect on the Prognosis of Delirium in Patients Undergoing Orthopedic Surgery
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Heo Dae-Young
Hwang Byeong-Mun
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Abstract
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Background: Postoperative delirium is relatively common. However, the relationship between intravenous patient-controlled analgesia (IV-PCA) and delirium has not been thoroughly investigated. The aim of this study was to evaluate the effects of IV-PCA on the prognosis of postoperative delirium in patients undergoing orthopedic surgery.
Methods: Medical records of 129 patients with postoperative delirium were reviewed. Patients were divided into two groups according to whether they used IV-PCA with fentanyl and ketorolac. The IV-PCA group consisted of 73 patients who were managed with IV-PCA; the NO-PCA group consisted of 56 patients who were managed without PCA.
Results: Incidences of multiple psychiatric consultations and prolonged delirium were significantly lower in patients using IV-PCA with fentanyl and ketorolac than in those without PCA.
Conclusions: We recommend the use of IV-PCA for pain control and management of delirium in patients with postoperative delirium.
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KEYWORD
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delirium, patient-controlled analgesia, postoperative, psychiatric
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