Postoperative Patient-Controlled Analgesia in the ElderlyRisks and Benefits of Epidural Versus Intravenous Administration

被引:0
作者
Claude Mann
Yvan Pouzeratte
Jean-Jacques Eledjam
机构
[1] University Hospital of Montpellier,Department of Anesthesia, Hospital Saint
来源
Drugs & Aging | 2003年 / 20卷
关键词
Morphine; Postoperative Pain; Local Anaesthetic; Respiratory Depression; Ropivacaine;
D O I
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学科分类号
摘要
Postoperative patient-controlled analgesia provided by the intravenous route using morphine (PCA) or by the epidural route using an opioid in combination with a local anaesthetic (patient-controlled epidural analgesia; PCEA) is not yet routinely used in the elderly. However, this modality theoretically provides adequate control of postoperative pain in such patients.
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页码:337 / 346
页数:9
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  • [1] Hecker BR(1988)Patient-controlled analgesia: a randomized prospective comparison between two commercially available PCA pumps and conventional analgesic therapy for postoperative pain Pain 35 115-20
  • [2] Albert L(1998)Patient-controlled epidural analgesia with bupivacaine and fentanyl on hospital wards: prospective experience with 1,030 surgical patients Anesthesiology 88 688-95
  • [3] Liu SS(1999)Patient-controlled analgesia Surg Clin North Am 79 297-312
  • [4] Allen HW(2001)Safety and efficacy of patient-controlled analgesia Br J Anaesth 87 36-46
  • [5] Olsson GL(1985)Efficacy of patient-controlled versus conventional analgesia for postoperative pain Clin Pharm 4 48-52
  • [6] Etches RC(1993)Postoperative patient-controlled analgesia: meta-analyses of initial randomized control trials J Clin Anesth 5 182-93
  • [7] Macintyre PE(1996)Elderly people’s knowledge of and attitudes to pain management Br J Nurs 5 556-62
  • [8] Bollish SJ(2000)PCA is effective for older patients: but are there limits? Anesthesiology 93 597-8
  • [9] Collins CL(1960)Sensitivity to pain in the aged CMAJ 83 944-7
  • [10] Kirking DM(1997)Patient experience of pain after elective noncardiac surgery Anesth Anaig 85 117-23