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하지 수술을 받는 환아에서 요추 접근법을 통한 수술 후 경막외 자가 통증 조절의 유용성
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김현우 | - |
dc.contributor.author | 김호중 | - |
dc.contributor.author | 박희완 | - |
dc.contributor.author | 심재광 | - |
dc.contributor.author | 한수봉 | - |
dc.date.accessioned | 2015-07-15T16:56:41Z | - |
dc.date.available | 2015-07-15T16:56:41Z | - |
dc.date.issued | 2003 | - |
dc.identifier.issn | 1226-2102 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/113912 | - |
dc.description.abstract | Purpose : To evaluate the safety and efficacy of postoperative patient controlled epidural analgesia via the lumbar approach in children undergoing lower extremity surgery. Materials and Methods : 40 patients between the ages of 5 and 12 years were randomly allocated into two groups; one group received conventional pain medications (intramuscular injection of ketorolac 1 mg/kg t.i.d. and meperidine 0.5 mg/kg p.r.n.) and the other group received patient controlled epidural analgesia. The composition of the analgesics in the experimental group was 0.1% bupivacaine +fentanyl 2 g/mL in 100 mL of normal saline. Pain scores were measured 3 times using a standardized pain scale containing questions regarding side effects - upon arrival at the ward, 6 hours thereafter and 24 hours after the first measurement. Results : Pain scores were significantly lower in the epidural group with minimal side effects requiring no further treatment (p<0.01). A significant correlation was found between the number of boluses and the incidence of nausea/vomiting in epidural group (p<0.01). Conclusion : This study demonstrates the safety and efficacy of patient controlled epidural analgesia using low concentrations of bupivacaine and fentanyl, in pediatric patients undergoing lower extremity surgery. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.relation.isPartOf | Journal of the Korean Orthopaedic Association (대한정형외과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Pediatrics | - |
dc.subject.MESH | Lower extremity surgery | - |
dc.subject.MESH | Patient controlled epidural analgesia | - |
dc.title | 하지 수술을 받는 환아에서 요추 접근법을 통한 수술 후 경막외 자가 통증 조절의 유용성 | - |
dc.title.alternative | Efficacy of Postoperative Patient Controlled Epidural Analgesia via the Lumbar Approach in Pediatric Patients Undergoing Lower Extremity Surgery | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | 김현우 | - |
dc.contributor.googleauthor | 김호중 | - |
dc.contributor.googleauthor | 심재광 | - |
dc.contributor.googleauthor | 박희완 | - |
dc.contributor.googleauthor | 한수봉 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01777 | - |
dc.contributor.localId | A02205 | - |
dc.contributor.localId | A04293 | - |
dc.contributor.localId | A01186 | - |
dc.contributor.localId | A01124 | - |
dc.relation.journalcode | J01839 | - |
dc.subject.keyword | Pediatrics | - |
dc.subject.keyword | Lower extremity surgery | - |
dc.subject.keyword | Patient controlled epidural analgesia | - |
dc.contributor.alternativeName | Kim, Hyun Woo | - |
dc.contributor.alternativeName | Kim, Ho Joong | - |
dc.contributor.alternativeName | Park, Hui Wan | - |
dc.contributor.alternativeName | Shim, Jae Kwang | - |
dc.contributor.alternativeName | Hahn, Soo Bong | - |
dc.contributor.affiliatedAuthor | Park, Hui Wan | - |
dc.contributor.affiliatedAuthor | Shim, Jae Kwang | - |
dc.contributor.affiliatedAuthor | Hahn, Soo Bong | - |
dc.contributor.affiliatedAuthor | Kim, Ho Joong | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Woo | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 38 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 223 | - |
dc.citation.endPage | 226 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.38(3) : 223-226, 2003 | - |
dc.identifier.rimsid | 41486 | - |
dc.type.rims | ART | - |
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