Randomized trial comparing 3 methods of postoperative analgesia in gynecology patients: patient-controlled intravenous, scheduled intravenous, and scheduled subcutaneous - 22/08/11
Résumé |
Objective |
The objective of the study was to determine whether any of 3 routes of opioid administration (patient-controlled analgesia [PCA], scheduled intermittent intravenous [IV], or scheduled intermittent subcutaneous [SQ]) provides superior pain relief and satisfaction among patients undergoing abdominal gynecologic surgery.
Study Design |
Patients were randomized to intravenous hydromorphone by PCA, IV hydromorphone via scheduled nurse-administered doses, or SQ hydromorphone via scheduled nurse-administered doses. Self-reported pain and satisfaction were recorded over 48 hours following arrival at the nursing unit. Linear mixed effects modeling was used to compare outcomes among the groups.
Results |
Neither pain scores nor satisfaction differed by group. PCA patients had higher total opioid use (P < .0001) and a higher rate of pruritus (P = .04).
Conclusion |
Given these findings as well as those in previous literature, no specific method of postoperative analgesia appears to be superior.
Le texte complet de cet article est disponible en PDF.Key words : hydromorphone, patient-controlled analgesia, postoperative analgesia, route of administration
Plan
| This work was supported in part by Riverside Methodist Hospital Medical Research Foundation. Reprints not available from the authors. Cite this article as: Bell JG, Shaffer LET, Schrickel-Feller T. Randomized trial comparing 3 methods of postoperative analgesia in gynecology patients: patient-controlled intravenous, scheduled intravenous, and scheduled subcutaneous. Am J Obstet Gynecol 2007;197:472.e1-472.e7. |
Vol 197 - N° 5
P. 472.e1-472.e7 - novembre 2007 Retour au numéro
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