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The efficacy of elastomeric patient-control module when connected to a balloon pump for postoperative epidural analgesia: A randomized, noninferiority trial

DC FieldValueLanguage
dc.contributor.author김명화-
dc.contributor.author김민수-
dc.contributor.author심연희-
dc.contributor.author이정수-
dc.date.accessioned2017-11-02T08:08:27Z-
dc.date.available2017-11-02T08:08:27Z-
dc.date.issued2017-
dc.identifier.issn0025-7974-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/154125-
dc.description.abstractWhen considering the principles of a pain control strategy by patients, reliable administration of additional bolus doses is important for providing the adequate analgesia and improving patient satisfaction. We compared the efficacy of elastomeric patient-control module (PCM) with conventional PCM providing epidural analgesia postoperatively.A noninferiority comparison was used. Eighty-six patients scheduled for open upper abdominal surgery were randomized to use either an elastomeric or conventional PCM connected to balloon pump. After successful epidural catheter insertion at T6-8 level, fentanyl (15-20 μg/kg) in 0.3% ropivacaine 100 mL was administered at basal rate 2 mL/h with bolus 2 mL and lock-out time 15 minutes. The primary outcome was the verbal numerical rating score for pain.The 95% confidence intervals for differences in pain scores during the first 48 hours postoperatively were <1, indicating noninferiority of the elastomeric PCM. The duration of pump reservoir exhaustion was shorter for the elastomeric PCM (mean [SD], 33 hours [8 hours] vs 40 hours [8 hours], P = 0.0003). There were no differences in the frequency of PCM use, additional analgesics, or adverse events between groups.The elastomeric PCM was as effective as conventional PCM with and exhibited a similar safety profile.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfMedicine-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHAmides/administration & dosage-
dc.subject.MESHAnalgesia, Epidural/methods*-
dc.subject.MESHAnalgesia, Patient-Controlled/methods*-
dc.subject.MESHAnalgesics, Opioid/administration & dosage-
dc.subject.MESHAnesthetics, Local/administration & dosage-
dc.subject.MESHFemale-
dc.subject.MESHFentanyl/administration & dosage-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPain, Postoperative/drug therapy*-
dc.subject.MESHYoung Adult-
dc.titleThe efficacy of elastomeric patient-control module when connected to a balloon pump for postoperative epidural analgesia: A randomized, noninferiority trial-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine-
dc.contributor.googleauthorMyung Hwa Kim-
dc.contributor.googleauthorYon Hee Shim-
dc.contributor.googleauthorMin-Soo Kim-
dc.contributor.googleauthorYang-Sik Shin-
dc.contributor.googleauthorHyun Joo Lee-
dc.contributor.googleauthorJeong Soo Lee-
dc.identifier.doi10.1097/MD.0000000000005828-
dc.contributor.localIdA00463-
dc.contributor.localIdA02196-
dc.contributor.localIdA03109-
dc.contributor.localIdA00429-
dc.relation.journalcodeJ02214-
dc.identifier.pmid28079812-
dc.subject.keywordepidural analgesia-
dc.subject.keywordpatient-controlled analgesia-
dc.subject.keywordpostoperative pain-
dc.contributor.alternativeNameKim, Myoung Hwa-
dc.contributor.alternativeNameKim, Min Soo-
dc.contributor.alternativeNameShim, Yon Hee-
dc.contributor.alternativeNameLee, Jeong Soo-
dc.contributor.affiliatedAuthorKim, Min Soo-
dc.contributor.affiliatedAuthorShim, Yon Hee-
dc.contributor.affiliatedAuthorLee, Jeong Soo-
dc.contributor.affiliatedAuthorKim, Myoung Hwa-
dc.citation.titleMedicine-
dc.citation.volume96-
dc.citation.number2-
dc.citation.startPage5828-
dc.identifier.bibliographicCitationMedicine, Vol.96(2) : 5828, 2017-
dc.date.modified2017-11-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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