Patient-controlled analgesia (PCA) via an infusion pump enables patient to administer their own analgesia. The aim of this study was to evaluate the effect of an educational programme in managing post-operative pain and satisfaction on PCA following orthopedic surgery. A pre-test and post-test interventional study design with implementation of patient education programme on PCA was provided to 54 respondents. The control group received conventional PCA briefing from the Acute Pain Service protocol. Pain intensity was measured at 2 hrs, 6 hrs and 24 hrs following surgery and pre-test and post-test of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) was administered. There was difference in respondents’ level of pain score among the study respondents’ medians for control group at 2 hrs, 6 hrs and 24 hrs following surgery and they were 7.00 (IQR=3.00), 5.00 (IQR=2.00) and 3.00 (IQR=2.00); intervention group at 2 hrs, 6 hrs and 24 hrs following surgery were 6.00 (IQR=2.00), 3.00 (IQR=1.00) and 1.00 (IQR=1.00) respectively. There were significant differences in median of pain score between intervention and control group at 2 (U=142.0, p<0.05), 6 (U=150.50, p<0.05) and 24 (U=120.00, p<0.05) hrs following surgery. There were statistically significant differences (p<0.05) in the median of patient’s pain severity at all pain levels i.e. least pain, worst pain, and severe pain between intervention and control group (least pain, U=219.50, p<0.05; worst pain, U=117.0, p<0.05; severe pain, U=49.0, p<0.05). In conclusion, patients who received pre-operative structured education programme showed improvement in managing post-operative pain and satisfaction on PCA after orthopedic surgery.
Analgesia, Patient-Controlled

Analgesia, Patient-Controlled* ; Anesthesia, Obstetrical*

No abstract available.
Analgesia, Patient-Controlled* ; Quality Improvement*

No abstract available.
Analgesia, Patient-Controlled* ; Dexmedetomidine* ; Ketamine*

No abstract available.
Analgesia, Patient-Controlled* ; Dexmedetomidine* ; Ketamine*

< 0.05) but there was no significant differences between the two groups. CONCLUSIONS: These results suggest that PCEA has no added influences on the cytokine responses after a gastrectomy.
Analgesia, Patient-Controlled ; Gastrectomy* ; Humans ; Pain, Postoperative*

No abstract available.
Aged ; Administration, Intravenous* ; Analgesia, Patient-Controlled* ; Humans

No abstract available.
Analgesia, Patient-Controlled* ; Female ; Humans ; Mammaplasty*

Parturients with both ankylosing spondylitis (AS) and SARS-CoV-2 Infection (COVID-19) present unique challenges to anesthesiologists. Neuraxial analgesia for labor remains the gold standard in obstetric patients. However, in patients with AS, this approach may be deemed difficult to impossible. Administration of systemic opioids for labor analgesia can be an option, bearing in mind the potential respiratory depressant effect to both the mother and the fetus, especially in the setting of concomitant COVID-19. This paper reports the successful management of such a patient using patient-controlled analgesia (PCA) with intravenous remifentanil.
Spondylitis, Ankylosing ; Remifentanil ; Analgesia, Patient-Controlled ; Analgesia, Obstetrical ; COVID-19

BACKGROUND: The postoperative pain control has improved with use of continuous epidural analgesia(CEA) and intravenous patient-controlled analgesia (IV-PCA). We compared the efficacy and safety of CEA using fentanyl-bupivacaine with IV-PCA using morphine in the postoperative pain control after total hysterectomy. METHODS: Sixty women undergoing hysterectomy were assigned to receive an epidural bolus of morphine 1 mg and 0.125% bupivacaine 10 ml, followed by a CEA with 0.00036% fentanyl and 0.075% bupivacaine at a rate of 5 ml/hr(CEA group) or intravenous bolus of morphine 2 mg followed by a IV-PCA with 0.1% morphine(IV-PCA group). Visual analog scales(VAS) for pain were recorded at 1, 6, 12, 24 and 48hr postoperatively and side effects and degree of satisfaction were noted. RESULTS: Resting and dynamic pain scores were significantly lower in the CEA group than in the IV-PCA group throughout the study period. The average pain scores using VAS in two groups were less than 4. There were no significant differences in side effects and degree of satisfaction between two groups. CONCLUSIONS: The continuous epidural infusion of fentanyl and bupivacaine provided better postoperative analgesia than IV-PCA morphine. The average pain scores of IV-PCA group was less than 4 and the incidence of side effects and degree of satisfaction were not significantly different between two groups. So, we think IV-PCA morphine is a convenient and effective alternative to CEA fentanyl -bupivacaine in patients declining to receive CEA.
Analgesia ; Analgesia, Epidural* ; Analgesia, Patient-Controlled* ; Bupivacaine ; Female ; Fentanyl ; Humans ; Hysterectomy ; Incidence ; Morphine* ; Pain, Postoperative*