Ocak 2000-Eylül 2001 Tarihleri Arasında Postoperatif Hasta Kontrollü Analjezi Uygulanan 810 Hastanın Retrospektif İncelenmesi, Ankara, 2002,

Abstract

The International Association for the Study of Pain has defined pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described as such damage. Reducing pain and pain complaints is not just ethical and humane. Pain causes events such as anxiety, insomnia, release of stress hormones and catecholamines that will affect the course of many post-surgical procedures. Some physiological responses to pain after acute injury increase the severity of pain and related morbidity. Commercially, PCA devices are devices that allow the patient to self-administer via an intravenous line or an infusion pump connected with an epidural catheter. Patient-controlled analgesia method is accepted as a safe and effective technique for postoperative analgesia and is seen as the “gold standard” in the treatment of pain after major surgery. A retrospective review and evaluation of the records of intravenous and epidural patient-controlled analgesia applications, covering 810 patients, applied by Hacettepe University Department of Anesthesiology and Reanimation between January 2000 and September 2001 were performed. While pethidine, morphine, fentanyl were used in intravenous PCA applications, fentanyl, morphine, bupivacaine were used alone or in combination in epidural PCA. Especially morphine and pethidine were the most preferred agents. Basal infusions and drugs and their use by our department were evaluated. Epidural PCA technique was found to be more successful than IV PCA technique. In our periodic controls, analgesia at rest and movement was provided with the epidural method in a short time, but this could not be demonstrated in IV PCA. Motor block was recorded in 2 patients in the epidural method. All patients who feel nausea are patients who are treated for pain with IV PCA. Of the 13 patients with hypotension, 12 were treated with IV PCA. A history of pruritus was only seen in patients treated with morphine.