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하지 수술을 받는 환아에서 요추 접근법을 통한 수술 후 경막외 자가 통증 조절의 유용성

Other Titles
 Efficacy of Postoperative Patient Controlled Epidural Analgesia via the Lumbar Approach in Pediatric Patients Undergoing Lower Extremity Surgery 
 김현우  ;  김호중  ;  심재광  ;  박희완  ;  한수봉 
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.38(3) : 223-226, 2003 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
Issue Date
Pediatrics ; Lower extremity surgery ; Patient controlled epidural analgesia
Pediatrics ; Lower extremity surgery ; Patient controlled epidural analgesia
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.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Kim, Ho Joong(김호중)
Park, Hui Wan(박희완)
Shim, Jae Kwang(심재광) ORCID logo https://orcid.org/0000-0001-9093-9692
Hahn, Soo Bong(한수봉)
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