A Comparison of the Effect of Epidural Patient-Controlled Analgesia with Intravenous Patient-Controlled Analgesia on Pain Control after Posterior Lumbar Instrumented Fusion

Lee, Sang-Hoon; Kim, Kyung-Hyun; Cheong, Seong-Mee; Kim, Su-Mi; Kooh, Mi-Rang; Chin, Dong-Kyu

추천

검색

자료유형: 학술저널

저자정보: Lee, Sang-Hoon (Department of Neurosurgery, The Spine and Spinal Cord Institute, Gangnam Severance Spine Hospital, Yonsei University College of Medicine) Kim, Kyung-Hyun (Department of Neurosurgery, The Spine and Spinal Cord Institute, Gangnam Severance Spine Hospital, Yonsei University College of Medicine) Cheong, Seong-Mee (Department of Neurosurgery, The Spine and Spinal Cord Institute, Gangnam Severance Spine Hospital, Yonsei University College of Medicine) Kim, Su-Mi (Department of Neurosurgery, The Spine and Spinal Cord Institute, Gangnam Severance Spine Hospital, Yonsei University College of Medicine) Kooh, Mi-Rang (Department of Neurosurgery, The Spine and Spinal Cord Institute, Gangnam Severance Spine Hospital, Yonsei University College of Medicine) Chin, Dong-Kyu (Department of Neurosurgery, The Spine and Spinal Cord Institute, Gangnam Severance Spine Hospital, Yonsei University College of Medicine)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제50권 제3호

발행연도: 2011.1

수록면: 205 - 208 (4page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objective : Retrospective analysis to compare the effect and complication of epidural patient-controlled analgesia (epidural PCA) with intravenous patient-controlled analgesia (IV PCA) for the treatment of the post-operative pain after posterior lumbar instrumented fusion. Methods : Sixty patients who underwent posterior lumbar instrumented fusion for degenerative lumbar disease at our institution from September 2007 to January 2008 were enrolled in this study. Out of sixty patients, thirty patients received IV PCA group and thirty patients received epidural PCA group. The pain scale was measured by the visual analogue scale (VAS) score. Results : There were no significant difference between IV PCA group and epidural PCA group on the PCA related complications (p=0.7168). Ten patients in IV PCA group and six patients in epidural PCA group showed PCA related complications. Also, there were no significant differences in reduction of VAS score between two groups on postoperative 2 hours (p=0.9618) and 6 hours (p=0.0744). However, postoperative 12 hours, 24 hours and 48 hours showed the significant differences as mean of reduction of VAS score (p=0.0069, 0.0165, 0.0058 respectively). Conclusion : The epidural PCA is more effective method to control the post-operative pain than IV PCA after 12 hours of spinal fusion operation. However, during the first twelve hours after operation, there were no differences between IV PCA and epidural PCA.

#Patient-controlled analgesia #Postoperative pain #Spinal fusion

참고문헌 (20)

참고문헌 신청

Bonhomme V / 2002 / Epidural administration of low-dose morphine combined with clonidine for postoperative analgesia after lumbar disc surgery / J Neurosurg Anesthesiol 14:1~6

Bost P / 1999 / Postoperative pain assessment in head and neck cancer surgery : benefit of patient controlled analgesia (PCA) / Ann Otolaryngol Chir Cervicofac 116:154~161

Cata JP / 2008 / Patient- controlled epidural analgesia (PCEA) for postoperative pain control after lumbar spine surgery / J Neurosurg Anesthesiol 20:256~260

Choi YS / 2008 / Effect of ramosetron on patient-controlled analgesia related nausea and vomiting after spine surgery in highly susceptible patients : comparison with ondansetron / Spine (Phila Pa 1976) 33:602~606

Cohen BE / 1997 / Postoperative pain control after lumbar spine fusion. Patient-controlled analgesia versus continuous epidural analgesia / Spine (Phila Pa 1976) 22:1892~1897