Comparison of the Effects of Postoperative Continuous Plus Bolus Patient-Controlled Analgesia and of Bolus Patient-Controlled Analgesia in Children.
10.4097/kjae.2006.50.1.72
- Author:
Jeong Hwa SEO
1
;
Ah Young OH
;
Chong Sung KIM
;
Seong Deok KIM
;
Hee Soo KIM
Author Information
1. Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea. dami0605@snu.ac.kr
- Publication Type:Original Article
- Keywords:
children;
fentanyl;
postoperative patient-controlled analgesia
- MeSH:
Analgesia;
Analgesia, Patient-Controlled*;
Child*;
Fentanyl;
Humans;
Incidence;
Nausea;
Orthopedics;
Pain, Postoperative
- From:Korean Journal of Anesthesiology
2006;50(1):72-76
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Patient-controlled analgesia has been used with increasing frequency to provide postoperative pain relief for children. We compared the effects of continuous plus bolus patient-controlled fentanyl analgesia with those of bolus patient-controlled fentanyl analgesia. METHODS: One hundred and thirty four children (aged 3-8 yr) undergoing orthopedic surgeries received one of two analgesic regimens of fentanyl based patient-controlled analgesia (PCA); bolus infusion of 0.4microgram/kg with a 15 minute lock-out interval (group B) or continuous (0.2microgram/kg/hr) and bolus infusion (0.2microgram/kg) with a 15 minute lock-out interval (group C). We compared the two groups in terms of degree of analgesia, sedation and nausea. RESULTS: Analgesic effects were better in group B at 1 and 2 hours after surgery. The incidence of sedation in group C was greater than in group B at 1 and 2 hours after surgery, and the groups were similar in terms of the incidences of nausea. CONCLUSIONS: We concluded that bolus infusion of fentanyl in children did not increase the incidence of side effects and that it was associated with a better analgesic effect than continuous and bolus fentanyl infusion.
