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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.88 No.2
- 발행연도
- 2015.1
- 수록면
- 86 - 91 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Opioid-based intravenous patient-controlled analgesia (IV-PCA) is a popular method of postoperative analgesia, but many patients suffer from PCA-related complications. We hypothesized that PCA was not essential in patients undergoing major abdominal surgery by minimal invasive approach.
Methods: Between February 2013 and August 2013, 297 patients undergoing laparoscopic surgery for colorectal cancer were included in this retrospective comparative study. The PCA group received conventional opioid-based PCA postoperatively, and the non-PCA group received intravenous anti-inflammatory drugs (Tramadol) as necessary. Patients reported their postoperative pain using a subjective visual analogue scale (VAS). The PCA-related adverse effects and frequency of rescue analgesia were evaluated, and the recovery rates were measured.
Results: Patients in the PCA group experienced less postoperative pain on days 4 and 5 after surgery than those in the non-PCA group (mean [SD] VAS: day 4, 6.2 [0.3] vs. 7.0 [0.3], P = 0.010; and day 5, 5.1 [0.2] vs. 5.5 [0.2], P = 0.030, respectively). Fewer patients in the non-PCA group required additional parenteral analgesia (41 of 93 patients vs. 53 of 75 patients, respectively), and none in the non-PCA group required rescue PCA postoperatively. The incidence of postoperative nausea and vomiting was significantly higher in the non-PCA group than in the PCA group (P < 0.001). The mean (range) length of hospital stay was shorter in the non-PCA group (7.9 [6?10] days vs. 8.7 [7?16] days, respectively, P = 0.03).
Conclusion: Our Results suggest that IV-PCA may not be necessary in selected patients those who underwent minimal invasive surgery for colorectal cancer.
Methods: Between February 2013 and August 2013, 297 patients undergoing laparoscopic surgery for colorectal cancer were included in this retrospective comparative study. The PCA group received conventional opioid-based PCA postoperatively, and the non-PCA group received intravenous anti-inflammatory drugs (Tramadol) as necessary. Patients reported their postoperative pain using a subjective visual analogue scale (VAS). The PCA-related adverse effects and frequency of rescue analgesia were evaluated, and the recovery rates were measured.
Results: Patients in the PCA group experienced less postoperative pain on days 4 and 5 after surgery than those in the non-PCA group (mean [SD] VAS: day 4, 6.2 [0.3] vs. 7.0 [0.3], P = 0.010; and day 5, 5.1 [0.2] vs. 5.5 [0.2], P = 0.030, respectively). Fewer patients in the non-PCA group required additional parenteral analgesia (41 of 93 patients vs. 53 of 75 patients, respectively), and none in the non-PCA group required rescue PCA postoperatively. The incidence of postoperative nausea and vomiting was significantly higher in the non-PCA group than in the PCA group (P < 0.001). The mean (range) length of hospital stay was shorter in the non-PCA group (7.9 [6?10] days vs. 8.7 [7?16] days, respectively, P = 0.03).
Conclusion: Our Results suggest that IV-PCA may not be necessary in selected patients those who underwent minimal invasive surgery for colorectal cancer.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (13)
참고문헌 신청
1. [학술지(정기간행물)] - Crisp CC. / 2012 / Patientcontrolled versus scheduled, nurse-administered analgesia following vaginal reconstructive surgery: a randomized trial / Am J Obstet Gynecol 207 : 433.e1 ~ 436.e1
2. [학술지(정기간행물)] - 김신형 / 2013 / Risk Assessment of Postoperative Nausea and Vomiting in the Intravenous Patient-Controlled Analgesia Environment: Predictive Values of the Apfel’s Simplified Risk Score for Identification of High-Risk Patients / Yonsei Medical Journal 54 (5) : 1273 ~ 1281
3. [학술지(정기간행물)] - Grass JA. / 2005 / Patient-controlled analgesia / Anesth Analg 101 (5 Suppl) : S44 ~ S61
4. [학술지(정기간행물)] - Fero KE. / 2011 / Pharmacologic management of postoperative nausea and vomiting / Expert Opin Pharmacother 12 : 2283 ~ 2296
5. [학술지(정기간행물)] - 김진형 / 2013 / Comparison of Pain-relieving Effects of Fentanyl versus Ketorolac after Eye Amputation Surgery / Korean Journal of Ophthalmology 27 (4) : 229 ~ 234
2. [학술지(정기간행물)] - 김신형 / 2013 / Risk Assessment of Postoperative Nausea and Vomiting in the Intravenous Patient-Controlled Analgesia Environment: Predictive Values of the Apfel’s Simplified Risk Score for Identification of High-Risk Patients / Yonsei Medical Journal 54 (5) : 1273 ~ 1281
3. [학술지(정기간행물)] - Grass JA. / 2005 / Patient-controlled analgesia / Anesth Analg 101 (5 Suppl) : S44 ~ S61
4. [학술지(정기간행물)] - Fero KE. / 2011 / Pharmacologic management of postoperative nausea and vomiting / Expert Opin Pharmacother 12 : 2283 ~ 2296
5. [학술지(정기간행물)] - 김진형 / 2013 / Comparison of Pain-relieving Effects of Fentanyl versus Ketorolac after Eye Amputation Surgery / Korean Journal of Ophthalmology 27 (4) : 229 ~ 234
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UCI(KEPA) : I410-ECN-0101-2016-514-001071645