J Korean Pain Soc.  1993 May;6(1):55-59.

A Comparison of Patient-Controlled Analgesia and Conventional Intramuscular Opioid Regimen in Relation to their Post-Operative Pain Control and Side Effects

• Lee SH
• Lee JK
• Lee KC
• Woo NS
• Lee YC

Abstract

Using a visual analogue scale, we compare the effect of patient-controlled analgesia and con-ventional intramuscular opioid regimen in 68 patients undergoing lower abdominal or gynecological surgery. We also recorded the incidence of side effects. We checked visual ana-logue scale 4 hours interval for 30 cases managed by patient-controlled analgesia and 38 cases of conventional intramuscular opioid group managed by obstetrician. We maintained fentanyl 0.33 microgram/kg/hr and set self administrable bolus dose 5.0 pgilockout interval: 15 min in patient-controlled analgesia group. Conventional intramuscular bolus injection group were administered meperidine 50 mg for 4 hour interval. Mean visual analogue scale scores obtained by patient-controlled analgesia group and intra-muscular bolus injection group were 2.49 +/- 0.67 and 4.53 +/- 1.28 (P < 0.05). Side effects such as; no significant incidence of respiratory depression, urinary retention, postural hypotension, nausea, vomiting and pruritus were developed by either group. These results suggest that patient-controlled analgesia was more effective method compared with conventional intraumuscular opioid injection regimen for post-operative pain management.

Keyword

Patient-controlled analgesia; Visual analogue scale; Fentanyl; Meperidine; Minimal effective analgesic concentration

MeSH Terms

Analgesia, Patient-Controlled*
Female
Fentanyl
Gynecologic Surgical Procedures
Humans
Hypotension, Orthostatic
Incidence
Meperidine
Nausea
Pain Management
Pruritus
Respiratory Insufficiency
Urinary Retention
Vomiting
Fentanyl
Meperidine