Document Detail


Patient-controlled analgesia for post-cesarean section pain.
MedLine Citation:
PMID:  3380504     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent reports have suggested that patient-controlled analgesia is an effective means of narcotic administration in postoperative patients. This prospective investigation was undertaken to determine the efficacy and safety of patient-controlled anesthesia infusion after cesarean section. During a recent ten-month period, 130 patients were assigned randomly to receive meperidine by pump or intramuscular injection. Meperidine consumption using the device varied widely to meet individual needs. Overdosage and drug dependence were not encountered with the prescribed drug concentrations. The patient-controlled analgesia method provided less sedation and more immediate pain relief without the need for painful injections. The additional cost of renting the infuser device was offset by combined patient and nursing satisfaction. We conclude that patient-controlled infusion of meperidine is safe and effective in satisfying individual patient needs after cesarean section.
Authors:
W F Rayburn; B J Geranis; C A Ramadei; R E Woods; K D Patil
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  72     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1988-07-22     Completed Date:  1988-07-22     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  136-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Nebraska College of Medicine, Omaha.
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MeSH Terms
Descriptor/Qualifier:
Analgesia / methods*
Cesarean Section*
Evaluation Studies as Topic
Female
Humans
Infusion Pumps
Injections, Intramuscular / nursing
Meperidine / administration & dosage
Pain Measurement
Pain, Postoperative / therapy*
Pregnancy
Prospective Studies
Random Allocation
Self Administration / instrumentation,  methods
Chemical
Reg. No./Substance:
57-42-1/Meperidine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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