Korean J Anesthesiol Search

CLOSE


Korean J Anesthesiol > Volume 40(2); > Article
DOI: https://doi.org/10.4097/kjae.2001.40.2.188   
Is a Basal Infusion Required in Patient-controlled Analgesia Using Fentanyl after Orthopedic Surgery?
Soon Im Kim, Sang Ho Kim, Sun Chong Kim
Department of Anesthesiology, College of Medicine, Soonchunhyang University, Seoul, Korea.
Abstract
BACKGROUND
It has been suggested that addition of a basal infusion (BI) to patient-controlled analgesia (PCA) improves the continuity of analgesia for post-operative pain, by maintaining a minimum effective blood concentration of opioids between PCA demands. The aim of this study was to determine whether the addition of a BI to PCA using fentanyl would lead to improved pain control and patient satisfaction without increasing the side effects.
METHODS
Seventy three patients, ASA class I or II, aged 22 - 72 years, following an orthopedic surgery under general anesthesia were studied. Patients were randomly allocated into two groups as follows: PCA group (n = 37), fentanyl 20 microgram demand dose with a lockout time of 6 min; PCA + BI group (n = 36), addition of fentanyl 20 microgram/h as a BI in the same regimen as the PCA group.
RESULTS
Pain scores, patient satisfaction, sedation, and incidence of side effects were similar between the two groups. However, total consumption of fentanyl during the first 24 h after surgery was significantly increased in the PCA + BI group compared with those in the PCA group (1114 +/- 334 microgram vs. 841 +/- 409 microgram, P < 0.05).
CONCLUSIONS
Despite the increased fentanyl consumption, the pain scores and patient satisfaction were not improved in the PCA + BI group. Addition of a BI at 20 microgram /h of fentanyl did not confer any advantage over a PCA alone and is not recommended when fentanyl PCA is used after orthopedic surgery.
Key Words: Analgesia: intravenous; patient-controlled; postoperative; Analgesics: fentanyl; Pain: measurement; postoperative
TOOLS
Share :
Facebook Twitter Linked In Line it
METRICS Graph View
  • 0 Crossref
  •    
  • 747 View
  • 2 Download


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2022 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next