Asian Nurs Res.  2014 Dec;8(4):300-304. 10.1016/j.anr.2014.10.003.

Factors Affecting Unused Remaining Volume of Intravenous Patient-controlled Analgesia in Patients Following Laparoscopic Gynecologic Surgery

• Kim KO
• Roh JW
• Shin EJ
• In J
• Song TH

• KMID: 2070319
• DOI: http://doi.org/10.1016/j.anr.2014.10.003

Abstract

PURPOSE
This study was undertaken to evaluate the factors affecting the unused remaining volume of intravenous patient-controlled analgesia (IV PCA) in patients who had undergone laparoscopic gynecologic surgery.
METHODS
We retrospectively collected patient records from pre-existing PCA log sheets from 98 patients. Surgical factors and IV PCA-related data including remaining volume, administration duration, early discontinuation (yes or no), and adverse reactions were recorded. Chi-square test, one-way analysis of variance, and multiple linear regression were applied for data analysis.
RESULTS
The average age of the 98 patients was 40.0 +/- 8.24 years. The incidence of postoperative nausea and vomiting (PONV) and early discontinuation were not statistically significant among the different surgical groups (p = .540 and p = .338, respectively). Twenty-eight patients wanted discontinuation of IV PCA and the remaining volume was 33.6 +/- 7.8 mL (range 20-55 mL). The significant determinants of remaining volume were whether IV PCA was discontinued due to PONV and duration of surgery (p < .001). The surgical duration was inversely correlated with the remaining volume.
CONCLUSION
Early discontinuation of IV PCA due to PONV is a major contributing factor to wastage of medicine. Prevention and treatment of PONV is needed to encourage patients to maintain PCA use for pain control.

Keyword

analgesia; patient-controlled; drug and narcotic control; linear models; medical waste; postoperative nausea and vomiting

MeSH Terms

Administration, Intravenous/*adverse effects/utilization
Adult
Analgesia, Patient-Controlled/*adverse effects/utilization
Female
Gynecologic Surgical Procedures/*adverse effects
Humans
Laparoscopy/*adverse effects
Middle Aged
Pain Management/*adverse effects/utilization
Pain, Postoperative/drug therapy
Postoperative Nausea and Vomiting/*chemically induced
Retrospective Studies
Young Adult