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위절제술 시 자가 통증 조절을 위한 경막외 sufentanil의 적절한 농도

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Author(s)
오정휴박기범박은결배진홍김현지이지원홍지희
Publication Year
2018
Keyword
EpiduralGastrectomyPatient controlled analgesiaSufentanil
Abstract
Patient controlled epidural anlagesia is a commonly used
method for postoperative pain management. The purpose of this
study is to determine the optimal concentration of sufentanil for
patient controlled epidural analgesia. Twenty eight patients who
underwent elective gastrectomy were enrolled in this study.
Patients were randomly assigned to one of two groups of 0.5
μg/mL (group S1) and 0.7 μg/mL (group S2). At 2 hours, 1 day,
2 days and 3 days after surgery, the patient's pain degree was
checked by numerical rating scale (NRS) and the presence of
side effects was assessed. In both groups, the NRS decreased
linearly with time. The NRS of the two groups differed but the
trend of decrease did not show significant difference. The
overall incidence of side effects was 45.5% (group S1) and
58.8% (group S2), respectively. Patient controlled epidural
analgesia using sufentanil was effective in controlling
postoperative pain, which was found to decrease with time.
When comparing the two concentrations used in this study, 0.5
μg/mL h a d a l o w e r i n c i d e n c e o f s i d e e f f e c t s t h a n t h e
concentration of 0.7 μg/mL, and the pain relief trends of the two
concentrations were similar.
Alternative Title
Optimal Concentration of Sufentanil for Patient Controlled Epidural Analgesia in Gastrectomy
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.37(1) : 9-16, 2018
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/30063
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