Postoperative P.C.A. in abdominal surgery. Analysis of 200 consecutive patients. 1991

M De Kock, and J L Scholtes
Department of Anesthesiology, Louvain School of Medicine.

Patient-Controlled-Analgesia (PCA) is becoming a standard in post-operative analgesia. This prospective study was designed to get more information on the safety and the efficiency of morphine PCA following abdominal surgery. Two hundred patients were enrroled Morphine requirements, number of unsatisfied demands, patients' satisfaction and side effects were recorded for 36 hours postoperatively. The mean morphine requirement was 23.2 mg for the first 12 hours, 22.2 mg for the next 12 hours and 16 mg for the last 12 hours. Female patients required significantly less morphine than male. Interestingly such difference was no more present for patients older than 60 years. The larger the morphine bolus dose, the greater the total amount needed without any better analgesia. A bolus dose of 1 mg seemed to be the best to be recommended. The variability in the number of unsatisfied demands (i.e. demands during the lockout interval) was quite large. The number of unsatisfied demands was not influenced by the size of the bolus dose. The patients' satisfaction was high: 60% enthusiastic, 36% satisfying, 4% negative. There was no difference in satisfaction linked to gender. On the other hand, a history of a previous surgery experience without PCA raised patients' satisfaction score. Side effects were uncommon. It is concluded that morphine PCA is an efficient and safe technique of post-operative analgesia in abdominal surgery.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009020 Morphine The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. Morphine Sulfate,Duramorph,MS Contin,Morphia,Morphine Chloride,Morphine Sulfate (2:1), Anhydrous,Morphine Sulfate (2:1), Pentahydrate,Oramorph SR,SDZ 202-250,SDZ202-250,Chloride, Morphine,Contin, MS,SDZ 202 250,SDZ 202250,SDZ202 250,SDZ202250,Sulfate, Morphine
D010149 Pain, Postoperative Pain during the period after surgery. Acute Post-operative Pain,Acute Postoperative Pain,Chronic Post-operative Pain,Chronic Post-surgical Pain,Chronic Postoperative Pain,Chronic Postsurgical Pain,Pain, Post-operative,Persistent Postsurgical Pain,Post-operative Pain,Post-operative Pain, Acute,Post-operative Pain, Chronic,Post-surgical Pain,Postoperative Pain, Acute,Postoperative Pain, Chronic,Postsurgical Pain,Postoperative Pain,Acute Post operative Pain,Chronic Post operative Pain,Chronic Post surgical Pain,Chronic Postsurgical Pains,Pain, Acute Post-operative,Pain, Acute Postoperative,Pain, Chronic Post-operative,Pain, Chronic Post-surgical,Pain, Chronic Postoperative,Pain, Chronic Postsurgical,Pain, Persistent Postsurgical,Pain, Post operative,Pain, Post-surgical,Pain, Postsurgical,Post operative Pain,Post operative Pain, Acute,Post operative Pain, Chronic,Post surgical Pain,Post-operative Pains,Post-surgical Pain, Chronic,Postsurgical Pain, Chronic,Postsurgical Pain, Persistent
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000005 Abdomen That portion of the body that lies between the THORAX and the PELVIS. Abdomens
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age

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