Korean J Anesthesiol.  2006 Jan;50(1):72-76. 10.4097/kjae.2006.50.1.72.

Comparison of the Effects of Postoperative Continuous Plus Bolus Patient-Controlled Analgesia and of Bolus Patient-Controlled Analgesia in Children

• Seo JH
• Oh AY
• Kim CS
• Kim SD
• Kim HS

• KMID: 2237480
• DOI: http://doi.org/10.4097/kjae.2006.50.1.72

Abstract

BACKGROUND: Patient-controlled analgesia has been used with increasing frequency to provide postoperative pain relief for children. We compared the effects of continuous plus bolus patient-controlled fentanyl analgesia with those of bolus patient-controlled fentanyl analgesia.
METHODS
One hundred and thirty four children (aged 3-8 yr) undergoing orthopedic surgeries received one of two analgesic regimens of fentanyl based patient-controlled analgesia (PCA); bolus infusion of 0.4microgram/kg with a 15 minute lock-out interval (group B) or continuous (0.2microgram/kg/hr) and bolus infusion (0.2microgram/kg) with a 15 minute lock-out interval (group C). We compared the two groups in terms of degree of analgesia, sedation and nausea.
RESULTS
Analgesic effects were better in group B at 1 and 2 hours after surgery. The incidence of sedation in group C was greater than in group B at 1 and 2 hours after surgery, and the groups were similar in terms of the incidences of nausea.
CONCLUSIONS
We concluded that bolus infusion of fentanyl in children did not increase the incidence of side effects and that it was associated with a better analgesic effect than continuous and bolus fentanyl infusion.

Keyword

children; fentanyl; postoperative patient-controlled analgesia

MeSH Terms

Analgesia
Analgesia, Patient-Controlled*
Child*
Fentanyl
Humans
Incidence
Nausea
Orthopedics
Pain, Postoperative
Fentanyl