Postoperative Pain Control using Intravenous Patient Controlled Analgesia in Cesarean Section and Hysterectomy.
10.4097/kjae.2007.52.2.166
- Author:
Yeon Soo JEON
1
;
Yong Shin KIM
;
Jin Deok JOO
;
Jang Hyeok IN
;
Jin Woo CHOI
;
Eu Jin KANG
;
Dae Woo KIM
;
Yong Gul KIM
;
Jung Ah LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Saint Vincent Hospital, The Catholic University of Korea, Suwon, Korea. likewinds@vincent.cuk.ac.kr
- Publication Type:Original Article
- Keywords:
cesarean section;
fentanyl;
intravenous PCA;
ketorolac;
open and laparoscopic total hysterectomy;
postoperative pain control
- MeSH:
Analgesia, Patient-Controlled*;
Analgesics;
Cesarean Section*;
Female;
Fentanyl;
Humans;
Hysterectomy*;
Ketorolac;
Laparoscopy;
Laparotomy;
Pain, Postoperative*;
Passive Cutaneous Anaphylaxis;
Pregnancy
- From:Korean Journal of Anesthesiology
2007;52(2):166-171
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Postoperative pain degree is variable according to the site, type, and method of operation. This study compared the pain degree and amount of analgesics required among 3 types of operation. METHODS: Ninety patients were selected that cesarean section (Group I, n = 30), open total hysterectomy (Group II, n = 30), laparoscopic total hysterectomy (Group III, n = 30) were scheduled. Patients received PCA with basal rate 2 ml/h, bolus 1 ml, lockout interval 5 min using fentanyl and ketorolac. We evaluated VAS at 30 min, 2, 6, 12, 18, 24, 36, 48 h postoperatively, demand of button and attempt of button, 6 hourly used amount of analgesics; side effects and degree of satisfaction after 24, 48 h postoperatively. RESULTS: The rest VAS decreased below 30 at 6 hr in group I & II and at 2 hr in group III. More analgesics were needed for the first 6 hr compared with remained time in 3 groups (group I vs. group II vs. group III, P < 0.05). Total amount of analgesics including loading dose were fentanyl 1,536 +/- 342microgram, ketorolac 167 +/- 34 mg for group I; 1,212 +/- 215microgram, 132 +/- 30 mg for group II; 866 +/- 125microgram, 97 +/- 27 mg for group III (group I vs. group II vs. group III, P < 0.05). CONCLUSIONS: The postoperative pain was painful as order of cesarean section, open total hysterectomy, and laparoscopic total hysterectomy. The pain was reduced 6 hr in laparotomy and 2 h in laparoscopy.
