A Preliminary Study for Randomized, Controlled Trial of On-Q® PainBuster® Pain Pump vs. Intravenous Patient-controlled Analgesia after Gasless Transaxillary Endoscopic Thyroidectomy / 대한내분비외과학회지
Korean Journal of Endocrine Surgery
; : 257-261, 2013.
Article
em Ko
| WPRIM
| ID: wpr-169059
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
Gasless transaxillary approach to endoscopic thyroidectomy is a widely performed procedure for benign or malignant thyroid neoplasms. However, it requires wide dissection for approaching the target area. The intravenous patient-controlled analgesia (IV PCA) is an effective method for postoperative pain control and patients can use it according to their requirement. However, patients suffer from nausea, vomiting, sleep disturbance, etc. due to opioids. Pain pump ON-Q® PainBuster® (pain buster) has been used widely in various surgeries for control of postoperative localizing and wide area pain without side effects of opioid analgesia because it consists of Ropivacaine.METHODS:
From Aug. 2008 to Jan. 2013, Gasless transaxillary endoscopic thyroidectomy was performed in 90 patients in a single institution, who were divided into three groups, including the IV PCA, pain buster, and null groups. We compared postoperative outcomes, pain severity between groups. We recorded scores immediately, 6, 12, 24, and 48 hours after surgery following visual analog pain score (VAS), and investigated hospital stay and occurrence of events of nausea, vomiting, and complications.RESULTS:
In the IV PCA group, it was discontinued due to nausea in 36.7% of patients. No significant difference in pain severity following VAS score was observed among the three groups. However, smaller numbers of analgesia injections were required in the Pain buster group than in the other groups, and fewer patients suffered from constipation, compared with the PCA group.CONCLUSION:
Pain buster showed even effects compared to IV PCA, with few side effects and less discomfort of patients, compared with the other groups. Therefore, pain buster was thought to be the proper method for pain control after dissection of the anterior chest wall, cervical area in order to secure an operative view for transaxillary endoscopic thyroidectomy.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Dor Pós-Operatória
/
Tireoidectomia
/
Vômito
/
Anafilaxia Cutânea Passiva
/
Neoplasias da Glândula Tireoide
/
Analgesia Controlada pelo Paciente
/
Constipação Intestinal
/
Parede Torácica
/
Analgesia
/
Analgésicos Opioides
Tipo de estudo:
Clinical_trials
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Endocrine Surgery
Ano de publicação:
2013
Tipo de documento:
Article
País de publicação:
COREA DEL SUR
/
COREIA DO SUL
/
KR
/
SOUTH KOREA