Acta Anaesthesiologica Taiwanica
Volume 48, Issue 2 , Pages 75-79 , June 2010

Evaluation of the Relationships Between Intravenous Patient-controlled Analgesia Settings and Morphine Requirements Among Patients After Lumbar Spine Surgery

  • Hsin-Lun Wu

      Affiliations

    • Department of Anesthesiology Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C
    • Division of Anesthesiology, Department of Surgery, Lotung Poh-Ai Hospital, Ilan, Taiwan, R.O.C
    • Hsin-Lun Wu and Mei-Yung Tsou contributed equally to this work.
    • ,
  • Mei-Yung Tsou

      Affiliations

    • Department of Anesthesiology Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C
    • Hsin-Lun Wu and Mei-Yung Tsou contributed equally to this work.
    • ,
  • Pei-Wen Chao

      Affiliations

    • Department of Anesthesiology Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C
    • ,
  • Su-Man Lin

      Affiliations

    • Department of Anesthesiology Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C
    • ,
  • Kwok-Hon Chan

      Affiliations

    • Department of Anesthesiology Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C
    • ,
  • Kuang-Yi Chang

      Affiliations

    • Department of Anesthesiology Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C
    • Division of Biostatistics, College of Public Health, National Taiwan University, Taipei, Taiwan, R.O.C
    • Corresponding Author InformationCorresponding author. Department of Anesthesiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C

Received 11 August 2009 ,Revised 6 November 2009 ,Accepted 11 November 2009.

References 

  1. Ortiz-Cardona J , Bendo AA . Perioperative pain management in the neurosurgical patient . Anesthesiol Clin . 2007;25:655–674
  2. Gepstein R , Arinzon Z , Folman Y , Shuval I , Shabat S . Efficacy and complications of patient-controlled analgesia treatment after spinal surgery . Surg Neurol . 2007;67:360–366
  3. Schenk MR, Putzier M, Kugler B, Tohtz S, Voigt K, Schink T, et al  Postoperative analgesia after major spine surgery: patient-controlled epidural analgesia versus patient-controlled intravenous analgesia . Anesth Analg . 2006;103:1311–1317
  4. Owen H , Szekely SM , Plummer JL , Cushnie JM , Mather LE . Variables of patient-controlled analgesia. 2. Concurrent infusion . Anaesthesia . 1989;44:11–13
  5. Owen H , Plummer JL , Armstrong I , Mather LE , Cousins MJ . Variables of patient-controlled analgesia. 1. Bolus size . Anaesthesia . 1989;44:7–10
  6. Burns JW , Hodsman NB , McLintock TT , Gillies GW , Kenny GN , McArdle CS . The influence of patient characteristics on the requirements for postoperative analgesia. A reassessment using patient-controlled analgesia . Anaesthesia . 1989;44:2–6
  7. Cohen BE , Hartman MB , Wade JT , Miller JS , Gilbert R , Chapman TM . Postoperative pain control after lumbar spine fusion. Patient-controlled analgesia versus continuous epidural analgesia . Spine . 1997;22:1892–1896
  8. Ho R . Handbook of Univariate and Multivariate Data Analysis and Interpretation with SPSS . Boca Raton: Chapman & Hall/CRC; 2006;
  9. Landau S , Everitt B . A Handbook of Statistical Analyses using SPSS . Boca Raton: Chapman & Hall/CRC; 2004;
  10. Peat JK , Barton B . Medical Statistics: A Guide to Data Analysis and Critical Appraisal . Malden: Blackwell; 2005;
  11. Dal D , Kanbak M , Caglar M , Aypar U . A background infusion of morphine does not enhance postoperative analgesia after cardiac surgery . Can J Anaesth . 2003;50:476–479
  12. McCoy EP , Furness G , Wright PM . Patient-controlled analgesia with and without background infusion. Analgesia assessed using the demand:delivery ratio . Anaesthesia . 1993;48:256–260
  13. Parker RK , Holtmann B , White PF . Effects of a nighttime opioid infusion with PCA therapy on patient comfort and analgesic requirements after abdominal hysterectomy . Anesthesiology . 1992;76:362–367
  14. Parker RK , Holtmann B , White PF . Patient-controlled analgesia. Does a concurrent opioid infusion improve pain management after surgery? . JAMA . 1991;266:1947–1952
  15. Macintyre PE . Intravenous patient-controlled analgesia: one size does not fit all . Anesthesiol Clin N Am . 2005;23:109–123
  16. Macintyre PE . Safety and efficacy of patient-controlled analgesia . Br J Anaesth . 2001;87:36–46
  17. Chia YY , Chow LH , Hung CC , Liu K , Ger LP , Wang PN . Gender and pain upon movement are associated with the requirements for postoperative patient-controlled IV analgesia: a prospective survey of 2,298 Chinese patients . Can J Anaesth . 2002;49:249–255
  18. Macintyre PE , Jarvis DA . Age is the best predictor of postoperative morphine requirements . Pain . 1996;64:357–364
  19. Chang KY , Tsou MY , Chan KH , Sung CS , Chang WK . Factors affecting patient-controlled analgesia requirements . J Formos Med Assoc . 2006;105:918–925
  20. Peters JW , Bandell Hoekstra IE , Huijer Abu-Saad H , Bouwmeester J , Meursing AE , Tibboel D . Patient controlled analgesia in children and adolescents: a randomized controlled trial . Paediatr Anaesth . 1999;9:235–241
  21. Reuben SS , Connelly NR , Lurie S , Klatt M , Gibson CS . Dose-response of ketorolac as an adjunct to patient-controlled analgesia morphine in patients after spinal fusion surgery . Anesth Analg . 1998;87:98–102
  22. Badner NH , Doyle JA , Smith MH , Herrick IA . Effect of varying intravenous patient-controlled analgesia dose and lockout interval while maintaining a constant hourly maximum dose . J Clin Anesth . 1996;8:382–385

PII: S1875-4597(10)60017-3

doi: 10.1016/S1875-4597(10)60017-3

Acta Anaesthesiologica Taiwanica
Volume 48, Issue 2 , Pages 75-79 , June 2010

Article Tools