The Korean Journal of Pain
- Volume 13 Issue 2
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- Pages.208-212
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- 2000
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
Comparative Study of Postoperative Pain in Lower and Upper Abdominal Surgery Using Patient-Controlled Analgesia
통증 자가 조절법을 이용한 상복부와 하복부 수술 후 통증의 비교
- Ko, Seong-Hoon (Research Institute of Clinical Medicine, Chonbuk National University Medical School & Hospital) ;
- Kim, Dong-Chan (Department of Anesthesiology, Chonbuk National University Medical School & Hospital) ;
- Lee, Jun-Rye (Department of Anesthesiology, Chonbuk National University Medical School & Hospital) ;
- Han, Young-Jin (Department of Anesthesiology, Chonbuk National University Medical School & Hospital) ;
- Choe, Huhn (Department of Anesthesiology, Chonbuk National University Medical School & Hospital)
- 고성훈 (전북대학교 의과대학 임상의학연구소) ;
- 김동찬 (전북대학교 의과대학 마취과학교실) ;
- 이준례 (전북대학교 의과대학 마취과학교실) ;
- 한영진 (전북대학교 의과대학 마취과학교실) ;
- 최훈 (전북대학교 의과대학 마취과학교실)
- Published : 2000.11.30
Abstract
Background: We studied 250 patients who received intravenous patient-controlled analgesia (PCA) after lower and upper abdominal surgery to evaluate pain relief, analgesic consumption, patient's mood and side effects. Methods: We made total 60 ml of analgesic mixture with morphine 60 mg, ketorolac 180 mg, droperidol 5 mg and normal saline. Loading and bolus dose and lockout interval were 0.05 ml/kg, 1.0 ml and 7 min, respectively. The duration of operation and the length of skin incision were recorded. Visual analog scale (VAS) pain and mood scores, cumulative analgesic consumption, and incidence of side effect were evaluated. Results: In the upper abdominal surgery group (Group 2), the duration of operation and length of skin incision were longer than Group 1. The average postoperative pain scores at 6, 24, and 48 hours in lower (Group 1) vs upper (Group 2) abdominal surgery were
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