|
KMID : 0374920050260010085
|
|
Inje Medical Journal
2005 Volume.26 No. 1 p.85 ~ p.92
|
|
|
Effects of Intravenous patient-controlled analgesia for Postoperative Pain of Total Abdominal Hysterectomy and Total Knee Replacement Arthroplasty
|
|
Choe Young-Kyun
Lee Kun-Moo
Lee Jeong-Han
Cheong Soon-Ho
Kim Young-Jae
Shin Chee-Mahn
Nam Hyun-Ok
|
|
|
Abstract
|
|
|
Objective: Intravenous patient-controlled analgesia(IV PCA) is gaining wide spread popularity in the management of postoperative pain control. The purpose of this study is to evaluate the severity of pain after TAH and TKRA through comparing visual analogue scale(VAS) of pain of each patients who received identical IV PCA protocol, and to improve our IV PCA protocol.
Methods: TAH group includes twenty female patients who were scheduled for TAH. TKRA group includes twenty female patients who were scheduled for TKRA. Each group received fentanyl 50㎍ about 30minutes before the end of surgery, followed by IV PCA with fentanyl 1500 ㎍, ketolorac 300mg, ondansteron 8mg, normal saline 56㎖(total 96ml, basal infusion rate 1㎖/hr, bolus dose 1㎖, lockout time 10 minutes). VAS scores were recorded at 1, 6, 12, 24, 48 hours postoperatively. Total bolus doses and patients’ satisfaction were checked after the end of analgesia.
Results: VAS scores of TKRA group were significantly higher than those of TAH group at 12, 24, 48 hours postoperatively. VAS scores of both group progressively decreased(P<0.05). Patients’ satisfaction score showed no significant difference between two groups. Total bolus dose of TKRA group was significantly higher than that of TAH.
Conclusion: The postoperative pain of TKRA was more severe than that of TAH. TKRA group needed more profound postoperative pain control than TAH group. We should consider the increase of early postoperative period analgesic doses to acquire optimal pain control of both group.
|
|
|
KEYWORD
|
|
|
Intravenous patient-controlled analgesia, Postoperative paincontrol, Continuous epidural analgesia, Visual analogue scale
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|