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[The effects of patient-controlled epidural analgesia with background infusion after abdominal surgery].
Masui. 2004 Jan; 53(1):29-33.M

Abstract

BACKGROUND

Although patient-controlled epidural analgesia (PCEA) is widely known to provide good pain control after abdominal surgery, it has not been popular in Japan. We evaluated the effects of PCEA with background infusion after major abdominal surgery.

METHODS

Ninety patients scheduled for abdominal surgery were randomly allocated to two groups by treatment with postoperative epidural analgesia: infuser group (n = 48); continuous infusion 5 ml.hr-1 or PCEA group (n = 42); background infusion 5 ml.hr-1, PCEA 3 ml and lock out 30 min. Microject (Sorenson Medical Co, U.S.A.) was used for PCEA machine. 0.2% ropivacaine 100 ml with fentanyl 500 micrograms was administered into the epidural space in both groups.

RESULTS

Postoperative visual analogue scale (VAS) at rest and coughing were about 10 mm and 40 mm in both group, respectively, and there were no significant differences between the groups. NSAIDs were effective for rescue analgesia in infuser group to improve postoperative pain as PCEA. Vomiting and sedation were more frequent in infuser group than in PCEA group. Empty battery and machine troubles of unknown origin were observed in 2 and 4 patients, respectively in PCEA group.

CONCLUSIONS

PCEA with background infusion could improve the management of postoperative pain, and adequate program of PCEA is important to reduce postoperative pain and its side effects.

Authors+Show Affiliations

Department of Anesthesia, Oji General Hospital, Tomakomai, 053-8506.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
English Abstract
Journal Article
Randomized Controlled Trial

Language

jpn

PubMed ID

14968598

Citation

Yamauchi, Masanori, et al. "[The Effects of Patient-controlled Epidural Analgesia With Background Infusion After Abdominal Surgery]." Masui. the Japanese Journal of Anesthesiology, vol. 53, no. 1, 2004, pp. 29-33.
Yamauchi M, Asano M, Watanabe M, et al. [The effects of patient-controlled epidural analgesia with background infusion after abdominal surgery]. Masui. 2004;53(1):29-33.
Yamauchi, M., Asano, M., Watanabe, M., Iwasaki, S., Furuse, S., & Namiki, A. (2004). [The effects of patient-controlled epidural analgesia with background infusion after abdominal surgery]. Masui. the Japanese Journal of Anesthesiology, 53(1), 29-33.
Yamauchi M, et al. [The Effects of Patient-controlled Epidural Analgesia With Background Infusion After Abdominal Surgery]. Masui. 2004;53(1):29-33. PubMed PMID: 14968598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The effects of patient-controlled epidural analgesia with background infusion after abdominal surgery]. AU - Yamauchi,Masanori, AU - Asano,Makoto, AU - Watanabe,Masanori, AU - Iwasaki,Soushi, AU - Furuse,Shingo, AU - Namiki,Akiyoshi, PY - 2004/2/19/pubmed PY - 2004/3/3/medline PY - 2004/2/19/entrez SP - 29 EP - 33 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 53 IS - 1 N2 - BACKGROUND: Although patient-controlled epidural analgesia (PCEA) is widely known to provide good pain control after abdominal surgery, it has not been popular in Japan. We evaluated the effects of PCEA with background infusion after major abdominal surgery. METHODS: Ninety patients scheduled for abdominal surgery were randomly allocated to two groups by treatment with postoperative epidural analgesia: infuser group (n = 48); continuous infusion 5 ml.hr-1 or PCEA group (n = 42); background infusion 5 ml.hr-1, PCEA 3 ml and lock out 30 min. Microject (Sorenson Medical Co, U.S.A.) was used for PCEA machine. 0.2% ropivacaine 100 ml with fentanyl 500 micrograms was administered into the epidural space in both groups. RESULTS: Postoperative visual analogue scale (VAS) at rest and coughing were about 10 mm and 40 mm in both group, respectively, and there were no significant differences between the groups. NSAIDs were effective for rescue analgesia in infuser group to improve postoperative pain as PCEA. Vomiting and sedation were more frequent in infuser group than in PCEA group. Empty battery and machine troubles of unknown origin were observed in 2 and 4 patients, respectively in PCEA group. CONCLUSIONS: PCEA with background infusion could improve the management of postoperative pain, and adequate program of PCEA is important to reduce postoperative pain and its side effects. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/14968598/[The_effects_of_patient_controlled_epidural_analgesia_with_background_infusion_after_abdominal_surgery]_ DB - PRIME DP - Unbound Medicine ER -