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
- 2018.1
- 수록면
- 191 - 198 (8page)
이용수
초록· 키워드
오류제보하기
Background: Patient-controlled epidural analgesia (PCEA) is known to provide good postoperative analgesia in many types of surgery including laparoscopic surgery. However, no study has compared PCEA with patient-controlled intravascular analgesia (PCIA) in laparoscopic radical prostatectomy (LARP). In this study, the efficacy and side effects of PCEA and PCIA after LARP were compared.Methods: Forty patients undergoing LARP were randomly divided into two groups: 1) a PCEA group, treated with 0.2% ropivacaine 3 ml and 0.1 mg morphine in the bolus; and 2) a PCIA group, treated with oxycodone 1 mg and nefopam 1 mg in the bolus. After the operation, a blinded observer assessed estimated blood loss (EBL), added a dose of rocuronium, performed transfusion, and added analgesics. The numeric rating scale (NRS), infused PCA dose, and side effects were assessed at 1, 6, 24, and 48 h. Results: EBL, added rocuronium, and added analgesics in the PCEA group were less than those in the PCIA group. There were no significant differences in side-effects after the operation between the two groups. Patients were more satisfied with PCEA than with PCIA. The NRS and accumulated PCA count were lower in PCEA group.Conclusions: Combined thoracic epidural anesthesia could induce less blood loss during operations. PCEA showed better postoperative analgesia and greater patient satisfaction than PCIA. Thus, PCEA may be a more useful analgesic method than PICA after LARP. (Korean J Pain 2018; 31: 191-8)
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
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Laufenberg-Feldmann R / 2016 / Prevalence of pain 6 months after surgery: a prospective observational study / BMC Anesthesiol 16:91
Chen K / 2013 / Systematic review and meta-analysis of laparoscopy-assisted and open total gastrectomy for gastric cancer / World J Gastroenterol 19:5365~5376
Bisgaard T / 2001 / Characteristics and prediction of early pain after laparoscopic cholecystectomy / Pain 90:261~269
Hudcova J / 2006 / Patient controlled opioid analgesia versus conventional opioid analgesia for postoperative pain / Cochrane Database Syst Rev
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