1. [Intravenous patient-controlled analgesia (IV-PCA) for relief of postoperative pain].
- Author
-
Mizuno J, Morita S, Hanaue N, Hanaoka K, and Yokoyama T
- Subjects
- Analgesics, Opioid adverse effects, Antiemetics administration & dosage, Droperidol administration & dosage, Fentanyl adverse effects, Humans, Infusions, Intravenous, Morphine adverse effects, Postoperative Nausea and Vomiting prevention & control, Analgesia, Patient-Controlled, Analgesics, Opioid administration & dosage, Fentanyl administration & dosage, Morphine administration & dosage, Pain, Postoperative drug therapy
- Abstract
Intravenous patient-controlled analgesia (IV-PCA) using opioids such as morphine and fentanyl can be an effective analgesic method for post-operative pain that is resistant to conventional administration of narcotic analgesics and nonsteroidal anti-inflammatory drugs, and where epidural block and peripheral nerve block are not feasible. In addition to post-operative pain relief, IV-PCA can facilitate early ambulation, reduce respiratory complications, and increase patient satis-faction. However, respiratory and circulatory depression, and post-operative nausea and vomiting (PONV) often occur as side effects of IV-PCA with opioids. Administration of droperidol can be an effective treatment for PON.
- Published
- 2011