Comparison of patient-controlled epidural analgesia with patient-controlled intravenous analgesia for laparoscopic radical prostatectomy

The Korean Journal of Pain
Boo-Young HwangJihye An

Abstract

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. 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. 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. Combined thoracic epidural anesthesia could induce less blood loss...Continue Reading

References

Jan 1, 1982·International Urology and Nephrology·H Hendolin, E Alhava
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Jun 21, 2011·CA: a Cancer Journal for Clinicians·Rebecca SiegelAhmedin Jemal
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Jul 29, 2016·Anesthesia and Analgesia·Brendan CarvalhoEdward T Riley
Oct 12, 2016·BMC Anesthesiology·Rita Laufenberg-FeldmannMarion Ferner

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Citations

Oct 12, 2018·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Chang-Soon LeeJee Youn Moon
Jul 2, 2021·Anaesthesia Critical Care & Pain Medicine·Adrien LemoineUNKNOWN PROSPECT Working Group Of The European Society Of Regional Anaesthesia And Pain Therapy (ESRA)

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Methods Mentioned

BETA
PCA
sedation

Software Mentioned

SPSS

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