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
- 2012.1
- 수록면
- 267 - 271 (5page)
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초록· 키워드
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The Nuss procedure for the correction of Pectus Excavatum (PE) is associated with intense postoperative pain. Our strategy to control early postoperative pain is to combine epidural with intravenous analgesia. Our aim was to analyse our pain control strategy by reviewing all the PE cases treated at our institution. Sixty consecutive patients, aged between 12 and 26 years old, received the PE operation at our institution from January, 2007 to September, 2010. The median age was 16 (12−27) with a male/female ratio of about 7/1. An epidural catheter was employed in all the cases, with 38 patients (63%) requiring additional drugs to control pain, which remained in place for 74 hours (72−96). The pain score was higher in male patients, but lower in those younger than 16 years old. Moreover, patients that consumed benzodiazepines had a significant decrease in cumulative opioid intake (P = 0.0408). Both gender and age had an impact on pain control, while we noticed a synergistic effect between opiates and tranquillizers.
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참고문헌 (15)
참고문헌 신청
Grosen K / 2010 / Postoperative consumption of opioid analgesics following correction of pectus excavatum is influenced by pectus severity: a single-centre study of 236 patients undergoing minimally invasive correction of pectus excavatum / Eur J Cardiothorac Surg 37:833~839
Rugyte DC / 2010 / Systemic postoperative pain management following minimally invasive pectus excavatum repair in children and adolescents: a retrospective comparison of intravenous patient-controlled analgesia and continuous infusion with morphine / Pediatr Surg Int 26:665~669
St Peter SD / 2008 / Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair? / J Pediatr Surg 43:79~82
Futagawa K / 2006 / Anesthetic management for the minimally invasive Nuss procedure in 21 patients with pectus excavatum / J Anesth 20:48~50
Weber T / 2007 / Superior postoperative pain relief with thoracic epidural analgesia versus intravenous patient- controlled analgesia after minimally invasive pectus excavatum repair / J Thorac Cardiovasc Surg 134:865~870
Rugyte DC / 2010 / Systemic postoperative pain management following minimally invasive pectus excavatum repair in children and adolescents: a retrospective comparison of intravenous patient-controlled analgesia and continuous infusion with morphine / Pediatr Surg Int 26:665~669
St Peter SD / 2008 / Is epidural anesthesia truly the best pain management strategy after minimally invasive pectus excavatum repair? / J Pediatr Surg 43:79~82
Futagawa K / 2006 / Anesthetic management for the minimally invasive Nuss procedure in 21 patients with pectus excavatum / J Anesth 20:48~50
Weber T / 2007 / Superior postoperative pain relief with thoracic epidural analgesia versus intravenous patient- controlled analgesia after minimally invasive pectus excavatum repair / J Thorac Cardiovasc Surg 134:865~870
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