756 PATIENT CONTROLLED ANALGESIA VERSUS CONTINUOUS EPIDURAL ANALGESIA AND INTRAMUSCULAR INJECTIONS: COMPARISON OF PATIENT PAIN EXPERIENCE AND SATISFACTION AFTER ABDOMINAL SURGERY

2006 ◽  
Vol 10 (S1) ◽  
pp. S197-S197
Author(s):  
A.P. Trikoupi ◽  
D. Vassilakos ◽  
I. Soultati ◽  
K. Andreopoulos ◽  
K. Matsi ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
Patient Controlled Analgesia ◽  
Pain Experience ◽  
Intramuscular Injections ◽  
Continuous Epidural Analgesia ◽  
Patient Pain

scholarly journals Comparison of analgesic efficacy of continuous transversus abdominis plane block with continuous epidural analgesia in patients undergoing abdominal surgery: a systematic review and meta-analysis

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092269
Author(s):  
Xiangbo Liu ◽  
Cehua Ou ◽  
Fei Peng ◽  
Guo Mu
Keyword(s):  
Postoperative Pain ◽  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
Meta Analysis ◽  
Transversus Abdominis Plane Block ◽  
Transversus Abdominis ◽  
Chinese Patients ◽  
Transversus Abdominis Plane ◽  
Novel Technique ◽  
Continuous Epidural Analgesia

Background A novel technique of continuous transversus abdominis plane block (TAPB) has been reported to be beneficial to patients undergoing abdominal surgery because it can significantly relieve postoperative pain. The aim of our study is to compare this novel technique with a traditional technique of continuous epidural analgesia (EA). Methods We conducted our meta-analysis in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Only randomized controlled trials (RCTs) that compared the efficacy of continuous TAPB and continuous EA to relieve postoperative pain were included. Patients were classified by nationality (Chinese, non-Chinese) for the subgroup analysis. Results Nine RCTs with 598 patients were included in our study. Pain levels measured by visual analog scale (VAS) scores at rest on postoperative day 1 were equivalent for continuous TAPB groups and continuous EA groups in non-Chinese and Chinese patients. The TAPB groups experienced a lower rate of hypotension, sensorimotor disorder, and nausea compared with the continuous EA group within 48 hours after surgery. Conclusion Continuous TAPB and continuous EA are equally effective in relieving postoperative pain at rest 24 hours after surgery, but EA was associated with more side effects such as hypotension, nausea, and sensorimotor disorder.

PATIENT CONTROLLED EPIDURAL ANALGESIA (PCEA) VERSUS PATIENT CONTROLLED ANALGESIA (PCA) IN THE ELDERLY AFTER ABDOMINAL SURGERY

1998 ◽  
Vol 89 (Supplement) ◽  
pp. 1137A
Author(s):  
Y. Pouzeratte ◽  
C. Mann ◽  
G. Boccara ◽  
C. Peccoux ◽  
C. Vergnes ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
The Elderly ◽  
Patient Controlled Analgesia

Patient-controlled epidural analgesia, versus intravenous patient-controlled analgesia after major lower abdominal surgery

2004 ◽  
Vol 29 ◽  
pp. 84-84
Author(s):  
D VASILAKOS ◽  
A TRIKOUPI ◽  
H PEZIKOGLOU ◽  
A KESISOGLOU ◽  
H URAILOGLOU ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
Patient Controlled Analgesia

Patient-Controlled Analgesia (PCA) with Remifentanil Versus Intermittent Epidural Boluses for Labor Analgesia

2017 ◽  
Vol 71 (2) ◽  
pp. 99-104
Author(s):  
Dafina Karadjova ◽  
Mirjana Shosholcheva ◽  
Atanas Sivevski ◽  
Emilija Ivanov ◽  
Ivo Kjaev ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Epidural Analgesia ◽  
Labor Analgesia ◽  
Nausea And Vomiting ◽  
Pain Patient ◽  
Patient Controlled Analgesia ◽  
Pain Scores ◽  
Significant Difference ◽  
Patient Pain ◽  
Remifentanil Group

Abstract Introduction. Remifentanil is becoming more and more popular for labor analgesia as an alternative for neuro-axial anesthesia. In this study we compared the severity of pain, patient satisfaction and side effects between two different types of labor analgesia. Methods. Eightyprimiparous patients ASA I or II, atterm pregnancy, were included in the study and divided in two groups. The first group (35 patients) received intravenous remifentanil on patient control pump in bolus doses. The second group (45 patients) received intermittent epidural boluses with highly diluted local anesthetic and opioid (Bupivacain and Fentanil). We analyzed oxygen saturation (SpO2), respiration rate, heart rate, blood pressure, sedation, nausea and vomiting as well as patient pain scores and satisfaction scores through 2 different VAS. Results. Mean SpO2 was significantly lower in the PCA remifentanil group 96.2%±1.6 versus 98.2±1.2 in the epidural group. Respiratory depression (RR<9 or SpO2 <90%) was not found in both groups. Sedation scores were significantly higher in the PCA remifentanil group, P<0.05. Incidence of nausea and vomiting was similar between the two groups, without significant difference. PCA remifentanil was inferior to epidural analgesia with respect to pain scores at all time points, but without significant difference in patient satisfaction between the two groups. Conclusion. Intravenous patient-controlled analgesia with remifentanil provides satisfactory level of labor analgesia, with lower SpO2 and more sedation. It could be an excellent alternative to epidural analgesia but continuous monitoring and oxygen supply is mandatory.

Comparison of Intravenous or Epidural Patient-controlled Analgesia in the Elderly after Major Abdominal Surgery

2000 ◽  
Vol 92 (2) ◽  
pp. 433-433 ◽  
Author(s):  
Claude Mann ◽  
Yvan Pouzeratte ◽  
Gilles Boccara ◽  
Christophe Peccoux ◽  
Christine Vergne ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Pain Relief ◽  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
Mental Status ◽  
The Elderly ◽  
Major Abdominal Surgery ◽  
Patient Controlled Analgesia ◽  
Intravenous Morphine ◽  
Surgery In The Elderly

Background Patient-controlled analgesia (PCA) with intravenous morphine and patient-controlled epidural analgesia (PCEA), using an opioid either alone or in combination with a local anesthetic, are two major advances in the management of pain after major surgery. However, these techniques have been evaluated poorly in elderly people. This prospective, randomized study compared the effectiveness on postoperative pain and safety of PCEA and PCA after major abdominal surgery in the elderly patient. Methods Seventy patients older than 70 yr of age and undergoing major abdominal surgery were assigned randomly to receive either combined epidural analgesia and general anesthesia followed by postoperative PCEA, using a mixture of 0.125% bupivacaine and sufentanil (PCEA group), or general anesthesia followed by PCA with intravenous morphine (PCA group). Pain intensity was tested three times daily using a visual analog scale. Postoperative evaluation included mental status, cardiorespiratory and gastrointestinal functions, and patient satisfaction scores. Results Pain relief was better at rest (P = 0.001) and after coughing (P = 0.002) in the PCEA group during the 5 postoperative days. Satisfaction scores were better in the PCEA group. Although incidence of delirium was comparable in the PCA and PCEA groups (24% vs. 26%, respectively), mental status was improved on the fourth and fifth postoperative days in the PCEA group. The PCEA group recovered bowel function more quickly than did the PCA group. Cardiopulmonary complications were similar in the two groups. Conclusion After major abdominal surgery in the elderly patient, patient-controlled analgesia, regardless of the route (epidural or parenteral), is effective. The epidural route using local anesthetics and an opioid provides better pain relief and improves mental status and bowel activity.

Sign in / Sign up

Export Citation Format

Share Document