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KMID : 0858220050090010011
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Intravenous Anesthesia
2005 Volume.9 No. 1 p.11 ~ p.15
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The Effectiveness of Patient-Controlled Analgesia for Elderly Patients more than 75 Years-old
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Lee Jae-Myeong
Choi Yun-Jeong
Shim Jae-Hang
Jeon Woo-Jae
Yeom Jong-Hoon
Shin Woo-Jong
Kim Kyoung-Hun
Cho Sang-Yoon
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Abstract
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Background: Obstacles to the use of patient-controlled analgesia (PCA) by elderly surgical patients more than 75 years-old have not been well documented. This study was designed to compare the effectiveness of PCA in elderly with older group, the satisfaction of PCA use in elderly patients, and total dose of fentanyl.
Methods: The patients who received intravenous PCA during postoperative first 48 hours were divided into a older and elderly group. Visual analog scale (VAS) scores at rest and movement were assessed on 8, 16, 24, 36, 40, 48 hours postoperatively. When PCA was discontinued, satisfaction and concerns about it were assessed.
Results: There were no age differences with regard to pain at rest or with movement. Satisfaction with PCA was high and did not differ between the groups. There was no significant difference in total dose of fentanyl between two groups.
Conclusions: Older and Elderly patients attained comparable levels of analgesia and were equally satisfied with their pain control.
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KEYWORD
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cute pain, geriatric pain, pain management
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