Intravenous Patient-controlled Analgesia Has a Positive Effect on the Prognosis of Delirium in Patients Undergoing Orthopedic Surgery
The Korean Journal of Pain
;
: 271-277, 2014.
Article
in English
| WPRIM
| ID: wpr-221020
ABSTRACT
BACKGROUND:
Postoperative delirium is relatively common. However, the relationship between intravenous patient-controlled analgesia (IV-PCA) and delirium has not been thoroughly investigated. The aim of this study was to evaluate the effects of IV-PCA on the prognosis of postoperative delirium in patients undergoing orthopedic surgery.METHODS:
Medical records of 129 patients with postoperative delirium were reviewed. Patients were divided into two groups according to whether they used IV-PCA with fentanyl and ketorolac. The IV-PCA group consisted of 73 patients who were managed with IV-PCA; the NO-PCA group consisted of 56 patients who were managed without PCA.RESULTS:
Incidences of multiple psychiatric consultations and prolonged delirium were significantly lower in patients using IV-PCA with fentanyl and ketorolac than in those without PCA.CONCLUSIONS:
We recommend the use of IV-PCA for pain control and management of delirium in patients with postoperative delirium.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orthopedics
/
Prognosis
/
Referral and Consultation
/
Passive Cutaneous Anaphylaxis
/
Fentanyl
/
Medical Records
/
Incidence
/
Analgesia, Patient-Controlled
/
Ketorolac
/
Delirium
Type of study:
Incidence study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Pain
Year:
2014
Type:
Article
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