지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.12
- 수록면
- 237 - 241 (5page)
이용수
초록· 키워드
오류제보하기
Background: We investigated the effectiveness of pain management and the adverse events of intravenous (IV) patient-controlled analgesia (PCA) after orthopedic surgery.
Methods: From September 2014 and August 2015, we performed a retrospective analysis of 77 patients who underwent orthopedic surgery of the shoulder or the elbow in our hospital. The composition of the intravenous PCA administered to the patients was as follows: 250 mg of dexketoprofen trametamol, 70 mg of oxycodone, and 0.6 mg of ramosetron, which were made up to 79 ml of normal saline. We evaluated and statistically analyzed the difference in the visual analogue scale (VAS) scores for pain at immediate postoperation, at 24 hours of PCA, at 72 hours of PCA, and after discontinuation of PCA and in the incidence of adverse events.
Results: We found that VAS score decreased for 3 postoperative days and that with discontinuation of IV PCA a meaningful change in VAS score was no longer seen. Of the 77 patients, 22 presented with adverse events (28.6%). We terminated IV PCA temporarily in the 21 patients who presented with adverse events; we terminated analgesia permanently in one patient (1.2%). Consequently, 76 of 77 patients carried out IV PCA till the designated period.
Conclusions: Intravenous PCA after orthopedic surgery of the shoulder or the elbow may be accompanied with adverse events. Careful assessment of the patient and treatment of the adverse outcomes are key to a successful maintenance of PCA and to a successful management of postoperative pain.
Methods: From September 2014 and August 2015, we performed a retrospective analysis of 77 patients who underwent orthopedic surgery of the shoulder or the elbow in our hospital. The composition of the intravenous PCA administered to the patients was as follows: 250 mg of dexketoprofen trametamol, 70 mg of oxycodone, and 0.6 mg of ramosetron, which were made up to 79 ml of normal saline. We evaluated and statistically analyzed the difference in the visual analogue scale (VAS) scores for pain at immediate postoperation, at 24 hours of PCA, at 72 hours of PCA, and after discontinuation of PCA and in the incidence of adverse events.
Results: We found that VAS score decreased for 3 postoperative days and that with discontinuation of IV PCA a meaningful change in VAS score was no longer seen. Of the 77 patients, 22 presented with adverse events (28.6%). We terminated IV PCA temporarily in the 21 patients who presented with adverse events; we terminated analgesia permanently in one patient (1.2%). Consequently, 76 of 77 patients carried out IV PCA till the designated period.
Conclusions: Intravenous PCA after orthopedic surgery of the shoulder or the elbow may be accompanied with adverse events. Careful assessment of the patient and treatment of the adverse outcomes are key to a successful maintenance of PCA and to a successful management of postoperative pain.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (18)
참고문헌 신청
[학술지(정기간행물)] - Albert TJ / 1991 / Patient-controlled analgesia in a postoperative total joint arthroplasty population / J Arthroplasty 6 (Suppl) : S23 ~ 28
[학술지(정기간행물)] - White PF / 2008 / Multimodal analgesia : its role in preventing postoperative pain / Curr Opin Investig Drugs 9 (1) : 76 ~ 82
[학술지(정기간행물)] - Vendittoli PA / 2006 / A multimodal analgesia protocol for total knee arthroplasty. A randomized, controlled study / J Bone Joint Surg Am 88 (2) : 282 ~ 289
[학술지(정기간행물)] - Tang R / 2009 / Multimodal analgesia for hip arthroplasty / Orthop Clin North Am 40 (3) : 377 ~ 387
[학술지(정기간행물)] - Skinner HB / 2004 / Multimodal acute pain management / Am J Orthop (Belle Mead NJ) 33 (5 Suppl) : 5 ~ 9
[학술지(정기간행물)] - White PF / 2008 / Multimodal analgesia : its role in preventing postoperative pain / Curr Opin Investig Drugs 9 (1) : 76 ~ 82
[학술지(정기간행물)] - Vendittoli PA / 2006 / A multimodal analgesia protocol for total knee arthroplasty. A randomized, controlled study / J Bone Joint Surg Am 88 (2) : 282 ~ 289
[학술지(정기간행물)] - Tang R / 2009 / Multimodal analgesia for hip arthroplasty / Orthop Clin North Am 40 (3) : 377 ~ 387
[학술지(정기간행물)] - Skinner HB / 2004 / Multimodal acute pain management / Am J Orthop (Belle Mead NJ) 33 (5 Suppl) : 5 ~ 9
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UCI(KEPA) : I410-ECN-0101-2016-514-002319613