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Journals / Journal of Clinical and Experimental Investigations / 2013 / Cilt: 4 - Sayı: 2

A retrospective investigation of the patient-controlled analgesia methods applied for postoperative pain management

Postoperatif ağrı tedavisinde uygulanan hasta-kontrollü analjezi yöntemlerinin retrospektif incelemesi

H. Volkan ACAR
Ayşegül CEYHAN
Hale UYSAL YARKAN
Abdülaziz KAYA
Pages
159–165
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

When compared to 2010, it was detected that IV tramadol PCA use has significantly increased (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Patient-controlled analgesia (PCA) in post- operative pain treatment is more effective than conventional analgesia methods.
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Key Findings & Data:Methods: The records of patients who were received PCA for postoperative analgesia at our hospital between 01 January 2010 and 31 December 2011 were investigated.
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Conclusion & Impact:When compared to 2010, it was detected that IV tramadol PCA use has significantly increased (p
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: Patient-controlled analgesia (PCA) in post- operative pain treatment is more effective than conventional analgesia methods. It is commonly preferred for the reasons of maintaining high patient satisfaction and positive effects on patients’ recovery period with less sedationand postoperative complications. In this study we aimed to investigate the characteristics of PCA methods that have been applied at our clinic within the last two-year period retrospectively. Methods: The records of patients who were received PCA for postoperative analgesia at our hospital between 01 January 2010 and 31 December 2011 were investigated. Patients’ genders, PCA protocols and the operations’ characteristics were evaluated. Results: In this study, it was seen that of the 1030 patients, IV tramadol PCA was applied to 580 (56.3%) patients, epidural PCA was applied to 431 (41.8%) patients and IV morphine PCA was applied to 19 (1.8%) patients. In 2011, it was seen that of the 971 patients, IV tramadol PCA was applied to 737 (75.9%) patients and epidural PCA was applied to 234 (24.1%) patients. When compared to 2010, it was detected that IV tramadol PCA use has significantly increased (p

Özet

Amaç: Postoperatif ağrı tedavisinde hasta kontrollü anal-jezi (HKA) uygulamaları, konvansiyonel analjezi yöntemlerinden daha etkindir. Daha az sedasyon ve postoperatif komplikasyonla yüksek hasta memnuniyeti sağlamalarıve hastaların iyileşme sürecine olan pozitif etkileri nedeniyle günümüzde sıklıkla tercih edilmektedir. Bu çalışmada kliniğimizde son iki yıllık süreç içerisinde uyguladığımız HKA yöntemlerine ait verileri retrospektif olarak incelemeyi amaçladık.Yöntemler: Hastanemizde 01 Ocak 2010 ve 31 Aralık 2011 tarihleri arasında postoperatif analjezi amacıylaHKA uygulanan hastaların kayıtları incelendi. Hastalarıncinsiyetleri, HKA protokolleri ve operasyonlara ait verilerdeğerlendirildi.Bulgular: Çalışmada 2010 yılında 1030 hastadan 580(%56,3) hastaya İV tramadol HKA, 431 (%41,8) hastaya epidural HKA, 19 (%1,8) hastaya ise İV morfin HKA uygulandığı görülmüştür. 2011’de ise 971 hastanın 737’sine(%75,9) İV tramadol HKA, 234’üne (%24,1) epidural HKAuygulandığı görülmüştür. 2011 yılında İV tramadol HKA kullanımı 2010 yılına göre anlamlı derecede artarken(p

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Cite This Article

ACAR, H. V., CEYHAN, A., YARKAN, H. U., KAYA, A. (2022). A retrospective investigation of the patient-controlled analgesia methods applied for postoperative pain management. Journal of Clinical and Experimental Investigations, Cilt: 4 - Sayı: 2, 159–165. https://ajindex.com/articles/561800

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References (18)

  1. Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be under- managed. Anesth Analg 2003;97:534–540
  2. Sommer M, de Rijke JM, van Kleef M, et al. The prevalence of postoperative pain in a sample of 1490 surgical inpatients. Eur J Anaesthesiol 2008;25:267–274
  3. Wu CL, Raja SN. Treatment of acute postoperative pain. Lancet 2011;25:2215-2225
  4. Kehlet H, Holte K. Effect of postoperative analgesia on surgical outcome. Br J Anaesth 2001;87:62–72
  5. Liu SS, Wu CL. The effect of analgesic technique on postoperative patient-reported outcomes including analgesia: a systematic review. Anesth Analg 2007;105:789–808
  6. Momeni M, Crucitti M, De Kock M. Patient-controlled analgesia in the management of postoperative pain. Drugs 2006;66:2321–2337
  7. Block BM, Liu SS, Rowlingson AJ, et al. Efficacy of postoperative epidural analgesia: a meta-analysis. J Am Med Assoc 2003;290:2455–2463
  8. Hudcova J, McNicol E, Quah C, et al. Patient controlled opioid analgesia versus conventional opioid analgesia for postoperative pain. Cochrane Database Syst Rev 2006;18;CD003348
  9. Yücel A. Hasta Kontrollü Analjezi (Patient Controlled Analgesia) PCA, 1. Baskı. İstanbul: Ufuk R & M;1997;3
  10. Viscusi ER. Patient-controlled drug delivery for acute postoperative pain management: a review of current and emerging technologies. Reg Anesth Pain Med 2008;33:146-158
  11. Yücel A. PCA’de Alternatif Yollar. Hasta Kontrollü Analjezi (Patient Controlled Analgesia) PCA, 1. Baskı. İstanbul: Ufuk R & M;1997:82
  12. Miaskowski C. Patient-controlled modalities for acute postoperative pain management. J Perianesth Nurs 2005;20:255-267
  13. Türk Anesteziyoloji ve Reanimasyon Derneği (TARD) Anestezi Uygulama Kılavuzları. Postoperatif Ağrı Tedavisi, Mart 2006
  14. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology 2004;100:1573-1581
  15. Yücel A. PCA (Patient Controlled Analgesia)
  16. Baskı. İstanbul: Ufuk R & M;1998;31-3,101-102
  17. Herr KA, Spratt K, Mobily PR, Richardson G. Pain intensity assessment in older adults: use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults. Clin J Pain 2004;20:207-219
  18. Liu SS, Wu CL. The effect of