首页    期刊浏览 2024年11月27日 星期三
登录注册

文章基本信息

  • 标题:Comparison of the Effects of Postoperative Continuous Plus Bolus Patient-Controlled Analgesia and of Bolus Patient-Controlled Analgesia in Children
  • 本地全文:下载
  • 作者:Seo, Jeong Hwa ; Oh, Ah Young ; Kim, Chong Sung
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2006
  • 卷号:50
  • 期号:1
  • 页码:72-76
  • DOI:10.4097/kjae.2006.50.1.72
  • 语种:English
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    BACKGROUND: Patient-controlled analgesia has been used with increasing frequency to provide postoperative pain relief for children. We compared the effects of continuous plus bolus patient-controlled fentanyl analgesia with those of bolus patient-controlled fentanyl analgesia.

    METHODS: One hundred and thirty four children (aged 3-8 yr) undergoing orthopedic surgeries received one of two analgesic regimens of fentanyl based patient-controlled analgesia (PCA); bolus infusion of 0.4µg/kg with a 15 minute lock-out interval (group B) or continuous (0.2µg/kg/hr) and bolus infusion (0.2µg/kg) with a 15 minute lock-out interval (group C). We compared the two groups in terms of degree of analgesia, sedation and nausea.

    RESULTS: Analgesic effects were better in group B at 1 and 2 hours after surgery. The incidence of sedation in group C was greater than in group B at 1 and 2 hours after surgery, and the groups were similar in terms of the incidences of nausea.

    CONCLUSIONS: We concluded that bolus infusion of fentanyl in children did not increase the incidence of side effects and that it was associated with a better analgesic effect than continuous and bolus fentanyl infusion.

  • 关键词:children; fentanyl; postoperative patient-controlled analgesia
国家哲学社会科学文献中心版权所有