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

研究成果: Contribution to journalArticle査読

抄録

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.

本文言語英語
ページ(範囲)365-369
ページ数5
ジャーナルJapanese Journal of Anesthesiology
67
4
出版ステータス出版済み - 4 1 2018
外部発表はい

All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療

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