J Korean Pain Soc.  1998 Oct;11(2):253-257.

Comparison of Quality of Pain Using Patient-Controlled Analgesia (PCA) after Total Abdominal Hysterectomy (TAH)

• Lee JK
• Park S
• Chung JG

Abstract

BACKGROUND: The purpose of this study was to examine the extent and evaluation of pain after total abdominal hysterectomy (TAH) and to establish correlation between three types of pain; pain at rest, pain with movement and pain with coughing (maximum pain).
METHODS
The present study compared quality of pain during pain management in 48 patients undergoing TAH. Patients received I.v. meperidine as loading dose in the recovery room and PCA with nalbuphine 90 mg, ketorolac 180 mg, buprenorphine 0.9 mg, droperidol 5 mg, plasma solution A 28 ml for 3 days. The PCA device used was the Baxter infusor (PCA module PC-19-55, 0.5 ml/hr basal rate, 15 minute lockout interval). Patients were then interviewed on Operative Day (OPD), Postoperative Day 1, 2, and 3 (POD 1, 2 and 3) to assess their pain on a visual analogue scale (VAS) of 0 (none) to 10 (worst imaginable).
RESULTS
The mean pain score at rest was 2.0 on OPD and decreased to 0.7 on POD 3. The mean pain score with movement was 3.2 on OPD and decreased to 1.6 on POD 3. The mean pain score with coughing was 4.2 on OPD and 4ecreased to 2.2 on POD 3.
CONCLUSIONS
Patients experience of three types of postoperative pain emphasizes the need for more effective pain management.

Keyword

Analgesia; Patient-controlled Analgesia; Pain, rneasurement; Postoperative pain

MeSH Terms

Analgesia
Analgesia, Patient-Controlled*
Buprenorphine
Cough
Droperidol
Humans
Hysterectomy*
Infusion Pumps
Ketorolac
Meperidine
Nalbuphine
Pain Management
Pain, Postoperative
Passive Cutaneous Anaphylaxis
Plasma
Recovery Room
Buprenorphine
Droperidol
Ketorolac
Meperidine
Nalbuphine