Patient-Controlled Interscalene Analgesia Versus Patient-Controlled Intravenous Analgesia in Postoperative Analgesia After Upper Extremity Surgery

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dc.contributor.authorTuncer, Sema
dc.contributor.authorTosun, Zekeriya
dc.contributor.authorYosunkaya, Alper
dc.contributor.authorReisli, Ruhiye
dc.contributor.authorŞentürk, Süleyman
dc.contributor.authorSavacı, Nedim
dc.date.accessioned2020-03-26T16:45:01Z
dc.date.available2020-03-26T16:45:01Z
dc.date.issued2002
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThe effectiveness of patient-controlled interscalene analgesia (PCISA) and patient-controlled intravenous analgesia (PCIVA) in the management of post-operative pain in 36 patients was studied. The general anesthetic technique was standardized. After surgery, all patients received 2 mg intravenous morphine. The patients were then randomized to receive either PCISA or PCIVA. The PCISA group received an interscalene block with 20 ml of 1% lidocaine. A catheter was introduced within the interscalene sheath and 20 min after the initial block, patients received a continuous infusion of 0.125 bupivacaine at rate of 4 ml/h supplemented by a bolus dose of 3 ml with a 15-min lockout time. PCIVA was given as a 1 mg morphine bolus and a 7-min lockout time. Pain relief was regularly assessed using a visual analog scale. Side effects and patient satisfaction were noted. The study period ended 48 h after the operation. Pain relief was significantly better controlled in the PCISA group 6, 12, 24, and 30 h after the operation (P<0.05). At 36, 42, and 48 h, no significant difference in pain score between the two groups was observed. Patient satisfaction was greater in the PCISA group (P<0.05). Vomiting and pruritus were observed more frequently in the PCIVA group (P<0.05). No major complications occurred in any of the study patients. The use of the PCISA technique was uncomplicated and provided better pain relief than PCIVA in postoperative analgesia.en_US
dc.identifier.citationTuncer, S., Tosun, Z., Yosunkaya, A., Reisli, R., Şentürk, S., Savacı, N., (2002). Patient-Controlled Interscalene Analgesia Versus Patient-Controlled Intravenous Analgesia in Postoperative Analgesia After Upper Extremity Surgery. European Journal of Plastic Surgery, (25), 149-151. Doi: 10.1007/s00238-002-0352-1
dc.identifier.doi10.1007/s00238-002-0352-1en_US
dc.identifier.endpage151en_US
dc.identifier.issn0930-343Xen_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage149en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00238-002-0352-1
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18167
dc.identifier.volume25en_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorTuncer, Sema
dc.institutionauthorTosun, Zekeriya
dc.institutionauthorYosunkaya, Alper
dc.institutionauthorReisli, Ruhiye
dc.institutionauthorŞentürk, Süleyman
dc.institutionauthorSavacı, Nedim
dc.language.isoenen_US
dc.relation.ispartofEuropean Journal of Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectInterscalene analgesiaen_US
dc.subjectPatient controlleden_US
dc.subjectUpper extremity surgeryen_US
dc.titlePatient-Controlled Interscalene Analgesia Versus Patient-Controlled Intravenous Analgesia in Postoperative Analgesia After Upper Extremity Surgeryen_US
dc.typeArticleen_US

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