295 205

Cited 10 times in

Parent-controlled analgesia in children undergoing cleft palate repair

Authors
 Seung Ho Choi  ;  Woo Kyung Lee  ;  Sung Jin Lee  ;  Sun Jun Bai  ;  Su Hyun Lee  ;  Beyoung Yun Park  ;  Kyeong Tae Min 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.23(1) : 122-125, 2008 
Journal Title
 JOURNAL OF KOREAN MEDICAL SCIENCE 
ISSN
 1011-8934 
Issue Date
2008
MeSH
Analgesia, Patient-Controlled* ; Child, Preschool ; Cleft Palate/surgery* ; Female ; Fentanyl/therapeutic use ; Humans ; Infant ; Male ; Parents*
Keywords
Analgesia, Patient-Controlled* ; Child, Preschool ; Cleft Palate/surgery* ; Female ; Fentanyl/therapeutic use ; Humans ; Infant ; Male ; Parents*
Abstract
The aims of this study were to find an optimal basal infusion dose of fentanyl for parent-controlled analgesia (PrCA) in children undergoing cleft palate repair and the degree of parents' satisfaction with PrCA. Thirty consecutive children between 6 months and 2 yr of age were enrolled. At the end of surgery, a PrCA device with a basal infusion rate of 2 mL/hr and bolus of 0.5 mL with lockout time of 15 min was applied. Parents were educated in patient-controlled analgesia (PCA) devices, the Wong Baker face pain scoring system, and monitoring of adverse effects of fentanyl. Fentanyl was infused 0.3 microgram/kg/hr at first, and we obtained a predetermined fentanyl regimen by the response of the previous patient to a larger or smaller dose of fentanyl (0.1 microgram/kg/hr as the step size), using an up-and-down method. ED50 and ED95 by probit analysis were 0.63 microgram/kg/hr (95% confidence limits, 0.55-0.73 microgram/kg/hr) and 0.83 microgram/kg/hr (95% confidence limits, 0.73-1.47 microgram/kg/hr), respectively. Eighty seven percent of the parents were satisfied with participating in the PrCA modality. PrCA using fentanyl with a basal infusion rate of 0.63 microgram/kg/hr can be applied effectively for postoperative pain management in children undergoing cleft palate repair with a high level of parents' satisfaction.
Files in This Item:
T200803298.pdf Download
DOI
10.3346/jkms.2008.23.1.122
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Min, Kyeong Tae(민경태) ORCID logo https://orcid.org/0000-0002-3299-4500
Park, Beyoung Yun(박병윤)
Bai, Sun Joon(배선준) ORCID logo https://orcid.org/0000-0001-5027-3232
Lee, Sung Jin(이성진)
Lee, Su Hyun(이수현)
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0001-8442-4406
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/108104
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse