An audit of postoperative intravenous patient-controlled analgesia with morphine: evolution over the last decade
| Autor: | Michael G. Irwin, Suk F. Tsang, Libby H. Y. Lee, Siu Lun Tsui, Chee Lun A. Ying, Chi Wai Cheung |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Drug Resistance Self Administration Patient satisfaction Outcome Assessment Health Care medicine Humans Medical prescription Infusions Intravenous Depression (differential diagnoses) Aged Pain Measurement Retrospective Studies Patient Care Team Medical Audit Pain Postoperative Dose-Response Relationship Drug Morphine business.industry Incidence (epidemiology) Retrospective cohort study Middle Aged Surgery Analgesics Opioid Anesthesiology and Pain Medicine Treatment Outcome Patient Satisfaction Anesthesia Postoperative Nausea and Vomiting Vomiting Female medicine.symptom business Respiratory Insufficiency medicine.drug Intravenous Patient-Controlled Analgesia |
| Zdroj: | European journal of pain (London, England). 13(5) |
| ISSN: | 1532-2149 |
| Popis: | The development and refinement of an acute pain service based on the increased availability of clinical evidence would be expected to improve the quality of postoperative pain control. This report reviews the application of postoperative patient-controlled analgesia (PCA) using intravenous morphine in a single institution between 2002 and 2005. More than 5000 patients were evaluated and the results were compared with a similar study performed 10 years ago. Prescription of PCA had increased by more than threefold. Morphine consumption from post-operative day 1 to day 3 (19.1 vs. 26.1, 8.6 vs. 18.1 and 4.5 vs. 19.0 microg/kg/h, respectively), demand-to-delivery ratio (1.35-1.76 vs. 2.4-2.8) and the incidence of respiratory depression (0.06% vs. 2%) were significantly reduced (p |
| Databáze: | OpenAIRE |
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