Comparison of patient-controlled analgesia with and without nighttime morphine infusion following lower extremity surgery in children

被引:28
作者
McNeely, JK
Trentadue, NC
机构
[1] MED COLL WISCONSIN,DEPT ANESTHESIOL,MILWAUKEE,WI 53226
[2] CHILDRENS HOSP,MED CTR CENT GEORGIA,MACON,GA
关键词
analgesia; postoperative; patient-controlled analgesia; analgesics; morphine; anesthesia; pediatric; monitoring; oximetry;
D O I
10.1016/S0885-3924(96)00324-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
To evaluate the usefulness of a concurrent nighttime morphine infusion in pediatric patient-controlled analgesia (PCA), 36 school-age children undergoing elective lower extremity surgery were randomly assigned to receive morphine by PCA alone, PCA with a nighttime infusion of morphine (PCA + BI). Postoperatively, patients breathed air and had oxygen saturation recorded continuously for the duration of PCA use. Total morphine requirements were decreased in the PCA group as compared to PCA + BI patients. PCA pump activation, VAS pain, and sedation scores were similar between the two groups at all times. Compared to the PCA group, patients assigned to the PCA + BI group spent more time with SpO(2) of 90% or less, during the nighttime infusion (P < 0.05). The use of a nighttime infusion of morphine did not appear to offer any advantage over the use of PCA alone in this patient population. (C) U.S. Cancer Pain Relief Committee, 1997.
引用
收藏
页码:268 / 273
页数:6
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