A prospective randomized comparative study of postoperative pain control using an epidural catheter in patients undergoing posterior lumbar interbody fusion
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Park, Si Young | - |
dc.contributor.author | An, Howard S. | - |
dc.contributor.author | Lee, Soon Hyuck | - |
dc.contributor.author | Suh, Seung Woo | - |
dc.contributor.author | Kim, Jeong Lae | - |
dc.contributor.author | Yoon, Seung Joo | - |
dc.date.accessioned | 2021-09-04T00:15:59Z | - |
dc.date.available | 2021-09-04T00:15:59Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2016-05 | - |
dc.identifier.issn | 0940-6719 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/88824 | - |
dc.description.abstract | Purpose To assess the efficacy of continuous epidural infusion analgesia (ED) with 0.2 % Ropivacaine versus IV PCA (Fentanyl) in spinal fusion surgery patients. Method A prospective randomized comparative clinical trial. Patients were randomized into one of two groups-the epidural group (ED-51 patients) and the IV PCA group (IV-43 patients). The epidural catheter tip was placed one level cephalad to the level of the PLIF in patients in the ED group. Patients were assessed by determining the pain score, cumulative opioid requirement, adverse effects, and satisfaction. Results Pain score comparisons between the ED group and the IV group, respectively, were as follows: immediate postoperative status: 2.1 +/- 1.5 vs. 7.2 +/- 2.1, p = 0.01; postoperative day 1: 2.3 +/- 1.9 vs. 6.8 +/- 2.3, p = 0.02; postoperative day 2: 1.9 +/- 1.8 vs. 5.4 +/- 2.1, p = 0.02; postoperative day 3: 1.5 +/- 1.6 vs. 3.9 +/- 1.9, p = 0.03; postoperative day 4: 3.8 +/- 2.1 vs. 3.1 +/- 1.9, p = 0.4. Lower levels of opioids were required in the ED group, and fewer opioid-related complications developed in the patients in this group. Complications related to the use of epidural catheters were comparable between the two groups. Patient satisfaction with postoperative pain control was higher in the ED group. Conclusion In comparison with the use of IV PCA only, continuous epidural infusion of Ropivacaine resulted in lower pain scores and opioid consumption and higher patient satisfaction levels after posterior lumbar interbody fusion. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.subject | INTRAVENOUS MORPHINE | - |
dc.subject | REGIONAL ANESTHESIA | - |
dc.subject | SPINAL STENOSIS | - |
dc.subject | DOUBLE-BLIND | - |
dc.subject | ANALGESIA | - |
dc.subject | SURGERY | - |
dc.subject | ROPIVACAINE | - |
dc.subject | FENTANYL | - |
dc.subject | BUPIVACAINE | - |
dc.subject | EFFICACY | - |
dc.title | A prospective randomized comparative study of postoperative pain control using an epidural catheter in patients undergoing posterior lumbar interbody fusion | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Si Young | - |
dc.contributor.affiliatedAuthor | Lee, Soon Hyuck | - |
dc.identifier.doi | 10.1007/s00586-016-4385-8 | - |
dc.identifier.scopusid | 2-s2.0-84954493785 | - |
dc.identifier.wosid | 000374979200029 | - |
dc.identifier.bibliographicCitation | EUROPEAN SPINE JOURNAL, v.25, no.5, pp.1601 - 1607 | - |
dc.relation.isPartOf | EUROPEAN SPINE JOURNAL | - |
dc.citation.title | EUROPEAN SPINE JOURNAL | - |
dc.citation.volume | 25 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1601 | - |
dc.citation.endPage | 1607 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | INTRAVENOUS MORPHINE | - |
dc.subject.keywordPlus | REGIONAL ANESTHESIA | - |
dc.subject.keywordPlus | SPINAL STENOSIS | - |
dc.subject.keywordPlus | DOUBLE-BLIND | - |
dc.subject.keywordPlus | ANALGESIA | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | ROPIVACAINE | - |
dc.subject.keywordPlus | FENTANYL | - |
dc.subject.keywordPlus | BUPIVACAINE | - |
dc.subject.keywordPlus | EFFICACY | - |
dc.subject.keywordAuthor | Epidural catheter | - |
dc.subject.keywordAuthor | Postoperative pain | - |
dc.subject.keywordAuthor | IV PCA | - |
dc.subject.keywordAuthor | Posterior lumbar interbody fusion | - |
dc.subject.keywordAuthor | Ropivacaine | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.