Patient-controlled analgesia after spinal fusion for idiopathic scoliosis

被引:22
作者
Beaulieu, P [1 ]
Cyrenne, L [1 ]
Mathews, S [1 ]
Villeneuve, E [1 ]
Vischoff, D [1 ]
机构
[1] HOP ST JUSTINE,DEPT ANESTHESIOL & REANIMATOL,MONTREAL,PQ H3T 1C5,CANADA
关键词
D O I
10.1007/s002640050081
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
One hundred adolescents undergoing posterior spinal fusion for scoliosis were reviewed to assess the adequacy of postoperative patient-controlled analgesia. There were 94 females and 6 males. The mean settings for morphine dosage were a loading dose of 114.5 mu g . kg(-1), a bolus dose of 24.8 mu g . kg(-1), and a lockout interval of 9.9 minutes. This was used for an average of 75.8 h, with a 52.2% success rate. Adolescents using patient-controlled analgesia showed a great variability in morphine requirements with greater use as they became older: The requirement was not significantly different on the Ist, 2nd and 3rd postoperative days and the total consumption was 52.2 mu g . kg(-1) . h(-1). Nausea and vomiting occurred in 45% and pruritus in 15%. There were 7 cases of respiratory depression who all recovered promptly and completely. This method is associated with high morphine requirements in adolescents, but can be used safely.
引用
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页码:295 / 299
页数:5
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