| Audit of a ward-based patient-controlled epidural analgesia service in Ireland. | |
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MedLine Citation:
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PMID: 21104335 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Ward-based patient-controlled epidural analgesia (PCEA) for postoperative pain control was introduced at our institution in 2006. We audited the efficacy and safety of ward-based PCEA from January 2006 to December 2008. METHOD: Data were collected from 928 patients who received PCEA in general surgical wards for postoperative analgesia using bupivacaine 0.125% with fentanyl 2 μg/mL. RESULTS: On the first postoperative day, the median visual analogue pain score was 2 at rest and 4 on activity. Hypotension occurred in 21 (2.2%) patients, excessive motor blockade in 16 (1.7%), high block in 5 (0.5%), nausea in 5 (0.5%) and pruritus in only 1 patient. Excessive sedation occurred in two (0.2%) patients but no intervention was required. There were no serious complications such as epidural abscess, infection or haematoma. CONCLUSION: Effective and safe postoperative analgesia can be provided with PCEA in a general surgical ward without recourse to high-dependency supervision. |
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Authors:
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T Tan; D Wilson; A Walsh; P Hu; C Power |
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Publication Detail:
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Type: Journal Article Date: 2010-11-23 |
Journal Detail:
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Title: Irish journal of medical science Volume: 180 ISSN: 1863-4362 ISO Abbreviation: Ir J Med Sci Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-04-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7806864 Medline TA: Ir J Med Sci Country: Ireland |
Other Details:
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Languages: eng Pagination: 417-21 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Perioperative Medicine, Coombe Women and Infants University Hospital, Cork Street, Dublin, 8, Ireland, tutan@me.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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