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Evaluation of the Relationships Between Intravenous Patient-controlled Analgesia Settings and Morphine Requirements Among Patients After Lumbar Spine Surgery
- Source :
- Acta Anaesthesiologica Taiwanica. 48(2):75-79
- Publication Year :
- 2010
- Publisher :
- Elsevier BV, 2010.
-
Abstract
- To evaluate the association between daily morphine requirement and the intravenous patient-controlled analgesia (IVPCA) setting in patients undergoing spinal surgery.We conducted a retrospective analysis of 179 patients of American Society of Anesthesiologists physical status class I-III who underwent elective posterior lumbar spinal surgery and consented to IVPCA for postoperative pain control. The regi-mental solution contained morphine 1 mg/mL. The IVPCA program was set to deliver a priming dose of 1.5-4 mL, a basal infusion rate of 0-1.2 mL/hr, and a 0.5-1.5 mL bolus on demand with a 5-minute lockout interval. Demographic data, surgical procedures, analgesia program setting variables, 4-hour cumulative morphine dose and 11-point numeric rating scale for pain on postoperative days 1 and 2 were collected for comparison.The IVPCA requirement decreased gradually over time (p0.001). The number of vertebrae involved significantly influenced the daily morphine requirements (p = 0.01). None of the IVPCA settings, including continuous infusion, affected daily morphine requirements. On average, the analgesic requirement on postoperative day 2 was 18% less than that on postoperative day 1.The number of vertebrae involved was significantly associated with the daily IVPCA requirement. The IVPCA settings, including priming dose, basal infusion rate and bolus dose, did not affect the daily morphine requirements.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Analgesic
Lumbar vertebrae
Young Adult
Bolus (medicine)
Lumbar
medicine
Humans
Young adult
Aged
Retrospective Studies
Aged, 80 and over
Pain, Postoperative
Lumbar Vertebrae
Morphine
business.industry
Retrospective cohort study
Analgesia, Patient-Controlled
General Medicine
Middle Aged
Surgery
Analgesics, Opioid
Anesthesiology and Pain Medicine
medicine.anatomical_structure
Anesthesia
Female
business
medicine.drug
Intravenous Patient-Controlled Analgesia
Subjects
Details
- ISSN :
- 18754597
- Volume :
- 48
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Acta Anaesthesiologica Taiwanica
- Accession number :
- edsair.doi.dedup.....d8f2a204d17f14dbaae711ca9b37492a
- Full Text :
- https://doi.org/10.1016/s1875-4597(10)60017-3