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Comparison of continuous epidural and intravenous analgesia for postoperative pain control in pediatric lower extremity surgery

DC FieldValueLanguage
dc.contributor.author구본녀-
dc.contributor.author김종훈-
dc.contributor.author배선준-
dc.contributor.author신양식-
dc.date.accessioned2015-07-14T17:29:29Z-
dc.date.available2015-07-14T17:29:29Z-
dc.date.issued2004-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/112989-
dc.description.abstractIn recent years epidural anesthesia and analgesia techniques were used in pediatric surgery owing to the development of pediatric epidural catheter needles. And the need of postoperative pain control in pediatric patients is also increasing. We compared combined general-epidural anesthesia and analgesia technique with intravenous fentanyl analgesia after general anesthesia for postoperative analgesic effect and complications in these pediatric patients. We randomly allocated 91 pediatric patients undergoing lower extremities surgery into epidural lidocaine group (n=61) and IV fentanyl group (n=30). During the operation, end-tidal sevoflurane concentration (ETsev) was controlled to maintain the blood pressure and heart rate within 10% of preoperative value. At the postoperative period, Parent Visual Analog Scale (PVAS), Objective Pain Score (OPS) and the incidence of nausea/ vomiting were checked immediately, 6 hours and 24 hours after the patient's arrival at general ward. ETsev was significantly low in epidural lidocaine group (p < 0.05). Compare to IV fentanyl group, epidural lidocaine group had significantly lower OPSs at 6 hours after arrival. Epidural lidocaine group had significantly lower PVASs immediately, 6 hrs and 24 hours after arrival. There was no significant difference in the incidence of postoperative nausea and vomiting. A combined general-epidural anesthesia technique significantly reduces intraoperative end-tidal sevoflurane concentration compared to general anesthesia alone. And continuous patient-controlled epidural analgesia reduces postoperative pain scores significantly more than continuous patient-controlled IV fentanyl analgesia without any serious complications in pediatric lower extremity surgery.-
dc.description.statementOfResponsibilityopen-
dc.format.extent789~795-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAnalgesia, Epidural*-
dc.subject.MESHAnesthesia, General-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHFemale-
dc.subject.MESHFentanyl/administration & dosage*-
dc.subject.MESHHumans-
dc.subject.MESHLidocaine/administration & dosage*-
dc.subject.MESHLower Extremity/surgery*-
dc.subject.MESHMale-
dc.subject.MESHPain, Postoperative/drug therapy*-
dc.subject.MESHPostoperative Nausea and Vomiting/epidemiology-
dc.titleComparison of continuous epidural and intravenous analgesia for postoperative pain control in pediatric lower extremity surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorSun Joon Bai-
dc.contributor.googleauthorBon Nyeo Koo-
dc.contributor.googleauthorYang Sik Shin-
dc.contributor.googleauthorKi Hwan Kim-
dc.contributor.googleauthorPhilip S. Doh-
dc.contributor.googleauthorJong Hoon Kim-
dc.identifier.doi10.3349/ymj.2004.45.5.789-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00193-
dc.contributor.localIdA00930-
dc.contributor.localIdA01795-
dc.contributor.localIdA02123-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid15515187-
dc.subject.keywordChildren-
dc.subject.keywordepidural analgesia-
dc.subject.keywordintravenous analgesia-
dc.subject.keywordlidocaine-
dc.subject.keywordfentanyl-
dc.contributor.alternativeNameKu, Bon Nyo-
dc.contributor.alternativeNameKim, Jong Hoon-
dc.contributor.alternativeNameBai, Sun Joon-
dc.contributor.alternativeNameShin, Yang Sik-
dc.contributor.affiliatedAuthorKu, Bon Nyo-
dc.contributor.affiliatedAuthorKim, Jong Hoon-
dc.contributor.affiliatedAuthorBai, Sun Joon-
dc.contributor.affiliatedAuthorShin, Yang Sik-
dc.rights.accessRightsfree-
dc.citation.volume45-
dc.citation.number5-
dc.citation.startPage789-
dc.citation.endPage795-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.45(5) : 789-795, 2004-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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