Feasibility of application of patient controlled intravenous analgesia to elderly postoperative analgesia
- VernacularTitle:老年病人术后采用自控静脉镇痛(PCIA)的安全性评估
- Author:
Bo GU
- Publication Type:Journal Article
- Keywords:
The elderly;
Analgesia;
Patient-controlled;
Intravenous
- From:
Journal of Chongqing Medical University
2003;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effectiveness and safety of patient-controlled intravenous analgesia (PCIA) for elderly patients.Methods:900 patients after operation (except for cerebral operation) were allocated to the aged group ( n =600,aged 65～90 years,ASAⅡ-Ⅳ) or the control group (young or middle-age group, n =300,aged 18～63 years,ASAⅠ-Ⅲ) and received PCIA.The PCIA solution consist of tramadol 600 mg,fentanyl 0.3 mg,droperidol 5 mg and NS 40 ml.Loading dose 3～5 ml,background infusion 0.7～1 ml/h,bolus 0.5ml,lockout time 10～15 min.The intensity of pain,level of sedation,scale of comfort and side effects were assessed.Meanwhile,RR,MAP,HR,SpO 2 were monitored and the total dosage of analgesic were recorded also.Results:There was no significant difference in VAS (Visual analogue scale),RSS(Ramesay sedation),and BCS (Bruggrmann comfort scale) in both groups.But,the consumption of the aged group was significantly fewer.The incidence of the adverse effects was lower in both groups and there was no significant difference between groups.The respiration and circulation was smooth in both groups throughout analgesia period.Conclusion:The efficacy of patient-controlled intravenous analgesia (PCIA) in elderly patients is good.The incidence of adverse effects is low.With adequate dosage and monitoring PCIA can be used safely for elderly postoperative analgesia.
