Intravenous Patient-controlled Analgesia Has a Positive Effect on the Prognosis of Delirium in Patients Undergoing Orthopedic Surgery.
10.3344/kjp.2014.27.3.271
- Author:
Dae Young HEO
1
;
Byeong Mun HWANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Kangwon National University Hospital, School of Medicine, Kangwon National University, Chuncheon, Korea. arim14@kangwon.ac.kr
- Publication Type:Original Article
- Keywords:
delirium;
patient-controlled analgesia;
postoperative;
psychiatric
- MeSH:
Analgesia, Patient-Controlled*;
Delirium*;
Fentanyl;
Humans;
Incidence;
Ketorolac;
Medical Records;
Orthopedics*;
Passive Cutaneous Anaphylaxis;
Prognosis*;
Referral and Consultation
- From:The Korean Journal of Pain
2014;27(3):271-277
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
