Factors Affecting Unused Remaining Volume of Intravenous Patient-controlled Analgesia in Patients Following Laparoscopic Gynecologic Surgery
Asian Nursing Research
;
: 300-304, 2014.
Article
in English
| WPRIM
| ID: wpr-90924
ABSTRACT
PURPOSE:
This study was undertaken to evaluate the factors affecting the unused remaining volume of intravenous patient-controlled analgesia (IV PCA) in patients who had undergone laparoscopic gynecologic surgery.METHODS:
We retrospectively collected patient records from pre-existing PCA log sheets from 98 patients. Surgical factors and IV PCA-related data including remaining volume, administration duration, early discontinuation (yes or no), and adverse reactions were recorded. Chi-square test, one-way analysis of variance, and multiple linear regression were applied for data analysis.RESULTS:
The average age of the 98 patients was 40.0 +/- 8.24 years. The incidence of postoperative nausea and vomiting (PONV) and early discontinuation were not statistically significant among the different surgical groups (p = .540 and p = .338, respectively). Twenty-eight patients wanted discontinuation of IV PCA and the remaining volume was 33.6 +/- 7.8 mL (range 20-55 mL). The significant determinants of remaining volume were whether IV PCA was discontinued due to PONV and duration of surgery (p < .001). The surgical duration was inversely correlated with the remaining volume.CONCLUSION:
Early discontinuation of IV PCA due to PONV is a major contributing factor to wastage of medicine. Prevention and treatment of PONV is needed to encourage patients to maintain PCA use for pain control.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Gynecologic Surgical Procedures
/
Retrospective Studies
/
Analgesia, Patient-Controlled
/
Laparoscopy
/
Postoperative Nausea and Vomiting
/
Pain Management
/
Administration, Intravenous
Type of study:
Observational study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Asian Nursing Research
Year:
2014
Type:
Article
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