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The Korean Journal of Pain ; : 191-198, 2018.
Artículo en Inglés | WPRIM | ID: wpr-742188

RESUMEN

BACKGROUND: Patient-controlled epidural analgesia (PCEA) is known to provide good postoperative analgesia in many types of surgery including laparoscopic surgery. However, no study has compared PCEA with patient-controlled intravascular analgesia (PCIA) in laparoscopic radical prostatectomy (LARP). In this study, the efficacy and side effects of PCEA and PCIA after LARP were compared. METHODS: Forty patients undergoing LARP were randomly divided into two groups: 1) a PCEA group, treated with 0.2% ropivacaine 3 ml and 0.1 mg morphine in the bolus; and 2) a PCIA group, treated with oxycodone 1 mg and nefopam 1 mg in the bolus. After the operation, a blinded observer assessed estimated blood loss (EBL), added a dose of rocuronium, performed transfusion, and added analgesics. The numeric rating scale (NRS), infused PCA dose, and side effects were assessed at 1, 6, 24, and 48 h. RESULTS: EBL, added rocuronium, and added analgesics in the PCEA group were less than those in the PCIA group. There were no significant differences in side-effects after the operation between the two groups. Patients were more satisfied with PCEA than with PCIA. The NRS and accumulated PCA count were lower in PCEA group. CONCLUSIONS: Combined thoracic epidural anesthesia could induce less blood loss during operations. PCEA showed better postoperative analgesia and greater patient satisfaction than PCIA. Thus, PCEA may be a more useful analgesic method than PICA after LARP.


Asunto(s)
Humanos , Administración Intravenosa , Analgesia , Analgesia Epidural , Analgesia Controlada por el Paciente , Analgésicos , Anestesia Epidural , Inyecciones Epidurales , Laparoscopios , Laparoscopía , Métodos , Morfina , Nefopam , Oxicodona , Dimensión del Dolor , Dolor Postoperatorio , Anafilaxis Cutánea Pasiva , Satisfacción del Paciente , Pica , Prostatectomía , Vértebras Torácicas
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