Parent-Controlled Analgesia in Children Undergoing Cleft Palate Repair.
10.3346/jkms.2008.23.1.122
- Author:
Seung Ho CHOI
1
;
Woo Kyung LEE
;
Sung Jin LEE
;
Sun Jun BAI
;
Su Hyun LEE
;
Beyoung Yun PARK
;
Kyeong Tae MIN
Author Information
1. Department of Anesthesiology and Pain Medicine, and Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. ktmin501@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Analgesia, Parent-Controlled;
Cleft Palate;
Fentanyl;
Pain, Postoperative
- MeSH:
*Analgesia, Patient-Controlled;
Child, Preschool;
Cleft Palate/*surgery;
Female;
Fentanyl/therapeutic use;
Humans;
Infant;
Male;
*Parents
- From:Journal of Korean Medical Science
2008;23(1):122-125
- CountryRepublic of Korea
- Language:English
-
Abstract:
The aims of this study were to find an optimal basal infusion dose of fentanyl for parent-controlled analgesia (PrCA) in children undergoing cleft palate repair and the degree of parents' satisfaction with PrCA. Thirty consecutive children between 6 months and 2 yr of age were enrolled. At the end of surgery, a PrCA device with a basal infusion rate of 2 mL/hr and bolus of 0.5 mL with lockout time of 15 min was applied. Parents were educated in patient-controlled analgesia (PCA) devices, the Wong Baker face pain scoring system, and monitoring of adverse effects of fentanyl. Fentanyl was infused 0.3 microgram/kg/hr at first, and we obtained a predetermined fentanyl regimen by the response of the previous patient to a larger or smaller dose of fentanyl (0.1 microgram/kg/hr as the step size), using an up-and-down method. ED50 and ED95 by probit analysis were 0.63 microgram/kg/hr (95% confidence limits, 0.55-0.73 microgram/kg/hr) and 0.83 microgram/kg/hr (95% confidence limits, 0.73-1.47 microgram/kg/hr), respectively. Eighty seven percent of the parents were satisfied with participating in the PrCA modality. PrCA using fentanyl with a basal infusion rate of 0.63 microgram/kg/hr can be applied effectively for postoperative pain management in children undergoing cleft palate repair with a high level of parents' satisfaction.
