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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
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.2
- 발행연도
- 2015.1
- 수록면
- 153 - 158 (6page)
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초록· 키워드
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Background: Opioids are widely used in boluses and patient-controlled analgesia (PCA) for postoperative pain control.
In this study, we compared the effects of oxycodone and fentanyl on postoperative pain in patients with intravenouspatient-controlled analgesia (IV-PCA) after laparoscopic gynecological surgery.
Methods: Seventy-four patients undergoing elective total laparoscopic hysterectomy or laparoscopic myomectomy wererandomly assigned to the administration of either fentanyl or oxycodone using IV-PCA (potency ratio 1 : 60). The cumulativedose administered in the patient-controlled mode during the initial 48 hours after the operation was measured.
Patients were also assessed for postoperative pain severity, adverse effects, and patient satisfaction.
Results: No significant differences were observed in patient satisfaction with the analgesia during the postoperative period.
Patients in the oxycodone group experienced significantly more dizziness compared to the fentanyl group. Patientsin the oxycodone group showed significantly lower consumption of opioid in the patient-controlled mode (10.1 ± 8.5 mlvs. 16.6 ± 12.0 ml, P = 0.013).
Conclusions: Our data suggest that oxycodone and fentanyl demonstrated similar effects, and therefore oxycodone maybe a good alternative to fentanyl in postoperative pain management. Further studies in various clinical settings will beneeded to determine the adequate potency ratio.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
최병문 / 2013 / 술후 통증조절을 위한 새로운 대안으로서의 Oxycodone / Journal of Dental Anesthesia and Pain Medicine 13(4):167~178
Kalso E. / 2005 / Oxycodone / J Pain Symptom Manage 29(5 Suppl):47~56
Lenz H / 2009 / A comparison of intravenous oxycodone and intravenous morphine in patientcontrolled postoperative analgesia after laparoscopic hysterectomy / Anesth Analg 109:1279~1283
Silvasti M / 1998 / Comparison of analgesic efficacy of oxycodone and morphine in postoperative intravenous patient-controlled analgesia / Acta Anaesthesiol Scand 42:576~580
Kalso E / 1991 / Intravenous morphine and oxycodone for pain after abdominal surgery / Acta Anaesthesiol Scand 35:642~646
Kalso E. / 2005 / Oxycodone / J Pain Symptom Manage 29(5 Suppl):47~56
Lenz H / 2009 / A comparison of intravenous oxycodone and intravenous morphine in patientcontrolled postoperative analgesia after laparoscopic hysterectomy / Anesth Analg 109:1279~1283
Silvasti M / 1998 / Comparison of analgesic efficacy of oxycodone and morphine in postoperative intravenous patient-controlled analgesia / Acta Anaesthesiol Scand 42:576~580
Kalso E / 1991 / Intravenous morphine and oxycodone for pain after abdominal surgery / Acta Anaesthesiol Scand 35:642~646
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