| Patient-controlled analgesia in postoperative cardiac surgery. | |
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MedLine Citation:
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PMID: 10520385 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this study was to assess, in the early postoperative period of cardiac surgery, the efficacy of patient-controlled analgesia (PCA) versus nurse-administered intravenous morphine followed by oral acetaminophen with or without codeine. Patients undergoing coronary bypass and/or valvular surgery were recruited. All were under 75 years of age and were in stable angina with no ischaemic attacks within the last three months. Visual analog scores (VAS) were used for pain assessment. Pulmonary function tests were done preoperatively and measured every six hours after surgery until discharge from the intensive care unit. Patients allocated to the PCA group received morphine intravenously by a PCA Plus Micro Delivery Device for at least 48 hours. Patients entered into the nurse-administered intravenous morphine group received intravenous morphine followed by oral acetaminophen with or without codeine in 24 to 36 hours according to the clinical assessment of the critical care nurse. The data showed that the quality of pain control and pulmonary function were comparable in both groups. The equipotent morphine dosage requirements were also not statistically different. It was concluded that there was no significant advantage in using PCA routinely in the early postoperative period after cardiac surgery. Furthermore, repetition of PCA instructions was often required during the study period. |
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Authors:
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J Tsang; B Brush |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 27 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 1999 Oct |
Date Detail:
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Created Date: 1999-11-04 Completed Date: 1999-11-04 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 464-70 Citation Subset: IM |
Affiliation:
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Intensive Care Unit, Vancouver General Hospital, Vancouver, B.C., Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acetaminophen
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administration & dosage Administration, Oral Analgesia, Patient-Controlled* Analgesics, Non-Narcotic / administration & dosage Analgesics, Opioid / administration & dosage Cardiac Surgical Procedures* Conscious Sedation Female Forced Expiratory Volume Humans Injections, Intravenous Male Middle Aged Morphine / administration & dosage Pain Measurement Pain, Postoperative / drug therapy*, nursing Patient Satisfaction Prospective Studies Pulmonary Ventilation |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Non-Narcotic; 0/Analgesics, Opioid; 103-90-2/Acetaminophen; 57-27-2/Morphine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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