COMPARISON OF EFFECTIVENESS OF PATIENT CONTROLLED ANALGESIA AND PAIN PUMP VERSUS PATIENT CONTROLLED ANALGESIA FOLLOWING SURGERY FOR ADOLESCENT IDIOPATHIC SCOLIOSIS
Journal Title: Journal of Turkish Spinal Surgery - Year 2019, Vol 30, Issue 4
Abstract
Objective: The pain control is a difficult and tedious process following a surgery for adolescent idiopathic scoliosis (AIS). Although there are many treatment methods used to relieve pain, the pain is not completely controlled yet. This study was aimed to compare the effectiveness of intravenous patient controlled analgesia (PCA) and a combination of PCA and pain pump (PP) (PP + PCA) used after surgery for AIS. Materials and Methods: In the present study, the results of patients at the age of 12 to 22 years, who had an AIS surgery between 2016 and 2019 at our clinic, were retrospectively reviewed. The patients’ postoperative pain scores, need for opioids, time to walk, and discharge time were compared. Results: The results of 83 patients (Group PCA, n=34; Group PP + PCA, n=49) that met the study criteria were compared. The visual analogue scale (VAS) scores at the postoperative 6thand 12th hours were lower in the group PP + PCA (p<0.001), but there were no differences in pain scores at 24th and 48th hours between the groups (p>0.05). The time to walk for the group PP + PCA was significantly earlier than for the group PCA (2.67±0.99 vs. 3.68±0.94, p<0.0001). As for discharge time, the group PP + PCA was discharged earlier than the group PCA (8.00±2.03 vs. 10.00±4.56, p=0.045). With regard to the postoperative use of opioids, the use by the group PP + PCA was less than the group PCA at the end of both 24th hour and 48th hour (p<0.001). Conclusion: Following surgery for AIS, PP + PCA is a good choice for postoperative analgesia in the early postoperative period (the first 12 hours), reducing postoperative use of opioids and allowing patients to walk and to be discharged earlier.
Authors and Affiliations
Sinan YILAR, Ali AHISKALIOĞLU
Keywords
Related Articles
- EP ID EP677081
- DOI -
- Views 161
- Downloads 0
IS THE COTREL-DUBOUSSET REALY UNIVERSAL IN THE SURGICAL TREATMENT OF IDIOPATHIC SCOLIOSIS?
reviewed the results of 21 cases of C-D instrumentation, and 48 cases of posterior approach by Harrington instrumentation and modifications of Harrington procedure. Posterior spinal fusion and instrumentation by C-D prov...
VERTEBROPLASTY IS SAFER WHEN APPLIED WITH VERTEBROGRAPHY
Background Data: Cement leakage is a common problem during percutaneous vertebroplasty and can lead to complications such as pulmonary embolism, nerve root and cord compression. Purpose: To evaluate of the effecti...
HE CONSERVATIVE TREATMENT OF THORACOLUMBAR FRACTURES THE RESULTS OF FIVE YEARS FOLLOW-UP
We present in this study the late results of conservatively treated 456 thoracolumbar vertebra fractures in our clinic from 1986 to 1996. The mean age of the patients was 39.5 (9-82) years. 257 cases were follovved for f...
THE EFFECT OF PARTIAL FACETECTOMY VS. NO FACETECTOMY ON VERTEBRAL PURCHASE OF COLORADO-2 PEDICLE HOOK
INTRODUCTION: Partial facetectomy can improve the seating of the hook on the pedicle by different ways. The recommended pedicle hook placement in Colorado-2 system is without facetectomy. There is no biomechanical stud...
THE ROLE OF LASER DISC DECOMPRESSION AND EPIDUROSCOPY IN THE TREATMENT OF LUMBAR DISC HERNIA
Lumbar disc hernia usually responds to conservative treatment, but occasionally minimally invasive procedures or surgical interventions are necessary. Currently, the most commonly preferred surgical treatment for persist...