Comparison of thoracic epidural analgesia method and intravenous PCA (Patient Controlled Analgesia) in terms of analgesia and surgical complications in patients with upper abdominal surgery

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Shahnazari Vahideh; FARHANCHI AFSHIN; KHORSHIDI HAMID REZA; DANESHYAR SAJJAD; TORABIAN SAADAT

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Journal: Feyz Medical Sciences Journal Year:2020 | Volume:23 | Issue:6 Page(s): 647-656

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Title

Comparison of thoracic epidural analgesia method and intravenous PCA (Patient Controlled Analgesia) in terms of analgesia and surgical complications in patients with upper abdominal surgery

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Keywords

Patient controlled analgesiaQ1

Thoracic epiduralQ1

SurgeryQ2

Abstract

Background: Prevention and treatment of acute postoperative pain have an important role in improvement of patients conditions. This study aimed to compare between two methods (IVPatient controlled analgesia and Thoracic epidural Analgesia) in terms of analgesia and surgical complications in patients with upper abdominal Surgery. Materials and Methods: In this clinical trial study, the subjects were chosen from the patients referred to Besat hospital in Hamadan for upper abdominal Surgery. Sample size in each group was 72 patients. Data was collected by a questionnaire that included assessment of pulmonary function, pain levels (in both quantitative and qualitative scales), postoperative complications, analgesic usage, and patient satisfaction. After all data was analyzed by SPSS V: 21. Results: Postoperative pain during the first 24 hours after Surgery was higher in epidural group by using quantitative and qualitative methods but in second 24 hours, pain in this group only by qualitative method was more (Which was statistically meaningful). Complications of analgesic techniques were similar in both groups, but nausea in the PCA group and paresthesia in the epidural group was higher. The respiratory parameters measured didn't show significant differences between two methods. Patient satisfaction was greater in the PCA group but there are no differences between groups in satisfaction of nurses. Conclusion: The PCA method is effective as the Thoracic epidural analgesia method in reducing post-operative pain, and since this method is simpler and less expensive, it can be used safely for post-operative analgesia. Also, it's better not to use a Thoracic epidural method in patients with spinal, neuromuscular and sensory disorders.

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References

Thoracic epidural versus intravenous patient-controlled analgesia after open colorectal cancer surgery

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APA: Copy

Shahnazari, Vahideh, FARHANCHI, AFSHIN, KHORSHIDI, HAMID REZA, DANESHYAR, SAJJAD, & TORABIAN, SAADAT. (2020). Comparison of thoracic epidural analgesia method and intravenous PCA (Patient Controlled Analgesia) in terms of analgesia and surgical complications in patients with upper abdominal surgery. FEYZ, 23(6 ), 647-656. SID. https://sid.ir/paper/363246/en

Vancouver: Copy

Shahnazari Vahideh, FARHANCHI AFSHIN, KHORSHIDI HAMID REZA, DANESHYAR SAJJAD, TORABIAN SAADAT. Comparison of thoracic epidural analgesia method and intravenous PCA (Patient Controlled Analgesia) in terms of analgesia and surgical complications in patients with upper abdominal surgery. FEYZ[Internet]. 2020;23(6 ):647-656. Available from: https://sid.ir/paper/363246/en

IEEE: Copy

Vahideh Shahnazari, AFSHIN FARHANCHI, HAMID REZA KHORSHIDI, SAJJAD DANESHYAR, and SAADAT TORABIAN, “Comparison of thoracic epidural analgesia method and intravenous PCA (Patient Controlled Analgesia) in terms of analgesia and surgical complications in patients with upper abdominal surgery,” FEYZ, vol. 23, no. 6 , pp. 647–656, 2020, [Online]. Available: https://sid.ir/paper/363246/en

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