Comparison of patient-controlled epidural analgesia and intravenous patient-controlled analgesia for postoperative pain in pediatric patients undergoing nuss procedure

Seiko Sato, Mariko Kaku, Ken Yamaura

Research output: Contribution to journalArticle

Abstract

Background: Nuss procedure is a severely painful procedure for correcting pectus excavatum, and we conducted a retrospective comparison of patient-controlled epidural anesthesia (PCEA) and intravenous patient-controlled analgesia (IVPCA). Methods: The subjects were 26 pediatric patients aged between 5 to 15 years undergoing the Nuss procedure for pectus excavatum. Pain management was compared in patients with two groups: PCEA and IVPCA. Data collection included patient age and sex, body length, body weight, pain score, surgery/anesthesia times, the length of hospital stays after surgery, the use time of PCA, the rescue dose of analgesic drug, and complications. Results: Age, body length, body weight duration of anesthesia, length of hospital stays after surgery and time of PCA were significantly lower in IVPCA groups than in PCEA. There was no significant difference regarding the rescue dose of analgesic drug. Conclusions: The analgesic effect was not different between PCEA and IVPCA, and IVPCA may be better choice for anesthesiologist who do not have much experience of thoracic epidural anesthesia in children. The management of PONV and multimodal analgesia are needed.

Original languageEnglish
Pages (from-to)365-369
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume67
Issue number4
Publication statusPublished - Apr 1 2018
Externally publishedYes

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Patient-Controlled Analgesia
Epidural Analgesia
Postoperative Pain
Epidural Anesthesia
Pediatrics
Length of Stay
Funnel Chest
Analgesics
Passive Cutaneous Anaphylaxis
Anesthesia
Body Weight
Postoperative Nausea and Vomiting
Pain Management
Analgesia
Thorax
Pain

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

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title = "Comparison of patient-controlled epidural analgesia and intravenous patient-controlled analgesia for postoperative pain in pediatric patients undergoing nuss procedure",
abstract = "Background: Nuss procedure is a severely painful procedure for correcting pectus excavatum, and we conducted a retrospective comparison of patient-controlled epidural anesthesia (PCEA) and intravenous patient-controlled analgesia (IVPCA). Methods: The subjects were 26 pediatric patients aged between 5 to 15 years undergoing the Nuss procedure for pectus excavatum. Pain management was compared in patients with two groups: PCEA and IVPCA. Data collection included patient age and sex, body length, body weight, pain score, surgery/anesthesia times, the length of hospital stays after surgery, the use time of PCA, the rescue dose of analgesic drug, and complications. Results: Age, body length, body weight duration of anesthesia, length of hospital stays after surgery and time of PCA were significantly lower in IVPCA groups than in PCEA. There was no significant difference regarding the rescue dose of analgesic drug. Conclusions: The analgesic effect was not different between PCEA and IVPCA, and IVPCA may be better choice for anesthesiologist who do not have much experience of thoracic epidural anesthesia in children. The management of PONV and multimodal analgesia are needed.",
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AU - Kaku, Mariko

AU - Yamaura, Ken

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N2 - Background: Nuss procedure is a severely painful procedure for correcting pectus excavatum, and we conducted a retrospective comparison of patient-controlled epidural anesthesia (PCEA) and intravenous patient-controlled analgesia (IVPCA). Methods: The subjects were 26 pediatric patients aged between 5 to 15 years undergoing the Nuss procedure for pectus excavatum. Pain management was compared in patients with two groups: PCEA and IVPCA. Data collection included patient age and sex, body length, body weight, pain score, surgery/anesthesia times, the length of hospital stays after surgery, the use time of PCA, the rescue dose of analgesic drug, and complications. Results: Age, body length, body weight duration of anesthesia, length of hospital stays after surgery and time of PCA were significantly lower in IVPCA groups than in PCEA. There was no significant difference regarding the rescue dose of analgesic drug. Conclusions: The analgesic effect was not different between PCEA and IVPCA, and IVPCA may be better choice for anesthesiologist who do not have much experience of thoracic epidural anesthesia in children. The management of PONV and multimodal analgesia are needed.

AB - Background: Nuss procedure is a severely painful procedure for correcting pectus excavatum, and we conducted a retrospective comparison of patient-controlled epidural anesthesia (PCEA) and intravenous patient-controlled analgesia (IVPCA). Methods: The subjects were 26 pediatric patients aged between 5 to 15 years undergoing the Nuss procedure for pectus excavatum. Pain management was compared in patients with two groups: PCEA and IVPCA. Data collection included patient age and sex, body length, body weight, pain score, surgery/anesthesia times, the length of hospital stays after surgery, the use time of PCA, the rescue dose of analgesic drug, and complications. Results: Age, body length, body weight duration of anesthesia, length of hospital stays after surgery and time of PCA were significantly lower in IVPCA groups than in PCEA. There was no significant difference regarding the rescue dose of analgesic drug. Conclusions: The analgesic effect was not different between PCEA and IVPCA, and IVPCA may be better choice for anesthesiologist who do not have much experience of thoracic epidural anesthesia in children. The management of PONV and multimodal analgesia are needed.

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