Korean J Anesthesiol Search


Korean Journal of Anesthesiology 2007;52(2):166-171.
DOI: https://doi.org/10.4097/kjae.2007.52.2.166   
Postoperative Pain Control using Intravenous Patient Controlled Analgesia in Cesarean Section and Hysterectomy.
Yeon Soo Jeon, Yong Shin Kim, Jin Deok Joo, Jang Hyeok In, Jin Woo Choi, Eu Jin Kang, Dae Woo Kim, Yong Gul Kim, Jung Ah Lee
Department of Anesthesiology and Pain Medicine, Saint Vincent Hospital, The Catholic University of Korea, Suwon, Korea. likewinds@vincent.cuk.ac.kr
Postoperative pain degree is variable according to the site, type, and method of operation. This study compared the pain degree and amount of analgesics required among 3 types of operation.
Ninety patients were selected that cesarean section (Group I, n = 30), open total hysterectomy (Group II, n = 30), laparoscopic total hysterectomy (Group III, n = 30) were scheduled. Patients received PCA with basal rate 2 ml/h, bolus 1 ml, lockout interval 5 min using fentanyl and ketorolac. We evaluated VAS at 30 min, 2, 6, 12, 18, 24, 36, 48 h postoperatively, demand of button and attempt of button, 6 hourly used amount of analgesics; side effects and degree of satisfaction after 24, 48 h postoperatively.
The rest VAS decreased below 30 at 6 hr in group I & II and at 2 hr in group III. More analgesics were needed for the first 6 hr compared with remained time in 3 groups (group I vs. group II vs. group III, P < 0.05). Total amount of analgesics including loading dose were fentanyl 1,536 +/- 342microgram, ketorolac 167 +/- 34 mg for group I; 1,212 +/- 215microgram, 132 +/- 30 mg for group II; 866 +/- 125microgram, 97 +/- 27 mg for group III (group I vs. group II vs. group III, P < 0.05).
The postoperative pain was painful as order of cesarean section, open total hysterectomy, and laparoscopic total hysterectomy. The pain was reduced 6 hr in laparotomy and 2 h in laparoscopy.
Key Words: cesarean section; fentanyl; intravenous PCA; ketorolac; open and laparoscopic total hysterectomy; postoperative pain control


Browse all articles >

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 © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next