Publication in refereed journal
香港中文大学研究人员 ( 现职)
| Professor Tony GIN (麻醉及深切治疗学系) |
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Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/14WOS source URL
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摘要Cessation of IV patient-controlled analgesia (PCA) in the postoperative period is often an arbitrary clinical decision. We conducted a prospective survey of patients 24 h after cessation of TV PCA morphine to determine whether they wished to be restarted on PCA, and to evaluate factors affecting this decision. One hundred and fifteen patients were surveyed over a 3-mo period. Thirty-eight patients (33%) wished to restart PCA. The most common reason was the expectation that TV PCA would be more effective. Age, sex, type of surgery, duration of PCA use, side effects, pain scores, and reasons for cessation of PCA did not affect the decision. The reasons given by those who did not wish to restart PCA were minimal pain (51.9%), inconvenient PCA machine (15.6%), ineffective analgesia by TV PCA (11.7%), side effects during PCA (11.7%), and wishing to tolerate pain (7.8%). PCA morphine consumption in the 24-h period before cessation of PCA (mean [SD]) was larger in patients wishing to restart PCA than in those who did not (21.1 [http://aims.cuhk.edu.hk/converis/portal/Publication/14.8] mg vs 15.1 [15.1] mg; P < 0.05). In conclusion, the clinical decisions to cease IV PCA do not predict patient acceptance of and satisfaction with the decision and with subsequent pain treatment. Morphine consumption may predict a patient's acceptance of ceasing PCA.
着者Chen PP, Chui PT, Ma M, Gin T
期刊名称Anesthesia and Analgesia
出版年份2001
月份1
日期1
卷号92
期次1
出版社LIPPINCOTT WILLIAMS & WILKINS
页次224 - 227
国际标準期刊号0003-2999
电子国际标準期刊号1526-7598
语言英式英语
Web of Science 学科类别Anesthesiology; ANESTHESIOLOGY
