PAIN CONTROL AND ACTH CHANGES IN POSTOPERATIVE INTRAVENOUS ANALGESIA VERSUS EPIDURAL ANALGESIA IN LIMB ORTHOPEDIC SURGERY PATIENTS

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ENTEZARI SAIEDREZA; ALEBOUYEH MAHMOUDREZA; MOHSENI MASOOD; FAIZ HAMIDREZA; RAHIMZADEH POUPAK; SAFARI SAIED

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Journal: Journal of Anesthesiology and Pain Year:2012 | Volume:2 | Issue:6 Page(s): 3-9

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Title

PAIN CONTROL AND ACTH CHANGES IN POSTOPERATIVE INTRAVENOUS ANALGESIA VERSUS EPIDURAL ANALGESIA IN LIMB ORTHOPEDIC SURGERY PATIENTS

Author(s)

Keywords

ACTHQ2

ORTHOPEDIC SURGERYQ2

INTRAVENOUS ANALGESIAQ2

EPIDURAL ANALGESIAQ2

PATIENT-CONTROLLEDQ2

PAINQ2

Abstract

Aim and Background: The aim of this study is comparing ACTH changes in epidural and INTRAVENOUS ANALGESIA technique after lower limb ORTHOPEDIC SURGERY.Methods and Materials: In a randomized clinical trial in Hazrat Rasool Akram Hospital during 1387-88, 60 patients candidate for surgery on the lower extremities were randomly allocated to receive either postoperative analgesia with EPIDURAL ANALGESIA (PCEA) or IV analgesia (PCIA). Measurement of ACTH levels and Visual analogue scale (VAS) was performed in four relief phases including at the time of arrival to the operating room, immediately after surgery and 12 hours after intravenous pump functionary and 24 hours after surgery were recorded.Findings: The mean level of ACTH and VAS, 24 hours and 12 hours after surgery in the PCEA group were less than PCIA. Ramsey Sedation Score (RSS) in PCEA group at these intervals was more than PCIA cases.Conclusions: It seems that PCEA relieves PAIN more effectively than PCIA method. However, the proper method of anesthesia for each patient as well as patients' preferences should be considered in selecting the method of postoperative analgesia.

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APA: Copy

ENTEZARI, SAIEDREZA, ALEBOUYEH, MAHMOUDREZA, MOHSENI, MASOOD, FAIZ, HAMIDREZA, RAHIMZADEH, POUPAK, & SAFARI, SAIED. (2012). PAIN CONTROL AND ACTH CHANGES IN POSTOPERATIVE INTRAVENOUS ANALGESIA VERSUS EPIDURAL ANALGESIA IN LIMB ORTHOPEDIC SURGERY PATIENTS. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), 2(6), 3-9. SID. https://sid.ir/paper/216370/en

Vancouver: Copy

ENTEZARI SAIEDREZA, ALEBOUYEH MAHMOUDREZA, MOHSENI MASOOD, FAIZ HAMIDREZA, RAHIMZADEH POUPAK, SAFARI SAIED. PAIN CONTROL AND ACTH CHANGES IN POSTOPERATIVE INTRAVENOUS ANALGESIA VERSUS EPIDURAL ANALGESIA IN LIMB ORTHOPEDIC SURGERY PATIENTS. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)[Internet]. 2012;2(6):3-9. Available from: https://sid.ir/paper/216370/en

IEEE: Copy

SAIEDREZA ENTEZARI, MAHMOUDREZA ALEBOUYEH, MASOOD MOHSENI, HAMIDREZA FAIZ, POUPAK RAHIMZADEH, and SAIED SAFARI, “PAIN CONTROL AND ACTH CHANGES IN POSTOPERATIVE INTRAVENOUS ANALGESIA VERSUS EPIDURAL ANALGESIA IN LIMB ORTHOPEDIC SURGERY PATIENTS,” JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), vol. 2, no. 6, pp. 3–9, 2012, [Online]. Available: https://sid.ir/paper/216370/en

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