1.Structured Education Programme on Patient Controlled Analgesia (PCA) for Orthopaedic Patients
Ho Se ; Christopher Ck HO ; Zainah M ; Indra ; Jaafar MZ ; Choy YC ; Ismail MS
Medicine and Health 2016;11(1):62-71
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
3.Quality improvement for reducing intravenous patient-controlled analgesia self-discontinuation rate.
Yoo Jin KANG ; Seong Joo EUN ; Eun Woo PARK ; Soo Young LEE ; Jong Man KANG
Korean Journal of Anesthesiology 2014;67(Suppl):S118-S119
No abstract available.
Analgesia, Patient-Controlled*
;
Quality Improvement*
4.Comparison of dexmedetomidine and ketamine for the analgesic effect using intravenous patient-controlled analgesia after gynecological abdominal surgery.
Wonjin LEE ; Jung Dae SHIN ; Kwangrae CHOE ; Myoung Hun KIM
Korean Journal of Anesthesiology 2013;65(6 Suppl):S132-S134
No abstract available.
Analgesia, Patient-Controlled*
;
Dexmedetomidine*
;
Ketamine*
5.Comparison of dexmedetomidine and ketamine for the analgesic effect using intravenous patient-controlled analgesia after gynecological abdominal surgery.
Wonjin LEE ; Jung Dae SHIN ; Kwangrae CHOE ; Myoung Hun KIM
Korean Journal of Anesthesiology 2013;65(6 Suppl):S132-S134
No abstract available.
Analgesia, Patient-Controlled*
;
Dexmedetomidine*
;
Ketamine*
6.The Effect of Postoperative Pain Management on Cytokine Response in Patients Undergoing Gastrectomy.
Chan Jong CHUNG ; Hoon Sik SHIN ; Tae Gyun KIM ; So Ron CHOI ; Young Jhoon CHIN
Korean Journal of Anesthesiology 2006;51(4):443-448
< 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*
7.Postoperative patient controlled analgesia in elderly Koreans: epidural versus intravenous administration.
Shin Hyung KIM ; Yang Sik SHIN ; Young Jun OH ; In Hye PARK ; Yong Seon CHOI
Korean Journal of Anesthesiology 2013;65(4):365-367
No abstract available.
Aged
;
Administration, Intravenous*
;
Analgesia, Patient-Controlled*
;
Humans
8.A Comparision of Patient Controlled Analgesia and Opioid IM Injection After Augmentation Mammoplasty.
Kyung Won MINN ; Yong Seok OH ; Min Goo LEE ; Junsub BAN
Journal of the Korean Society of Aesthetic Plastic Surgery 1999;5(1):97-101
No abstract available.
Analgesia, Patient-Controlled*
;
Female
;
Humans
;
Mammaplasty*
9.Patient-controlled analgesia with remifentanil in a parturient with Ankylosing Spondylitis and SARS-CoV-2 infection: A case report
Dominic D. Villa ; Christine Grace A. Suarez ; Jeffrey Paolo M. Nuñ ; ez
Acta Medica Philippina 2024;58(9):54-58
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
10.Comparison of Continuous Epidural Analgesia with Fentanyl-Bupivacaine Versus Intravenous Patient-Controlled Analgesia with Morphine for Postoperative Pain Control.
Dong Yeon KIM ; Jong Hak KIM ; Choon Hi LEE
Korean Journal of Anesthesiology 1998;35(2):348-353
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*