Patient‐Controlled Epidural Analgesia After Caesarean Section Using a Disposable Deviee

Kee, Warwick D. Ngan; Marlene, L.; Gin, Tony

doi:10.1111/j.1479-828x.1997.tb02415.x

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…7 The amount of pethidine used in both groups was comparable and similar to previous studies involving epidural pethidine for post-caesarean section analgesia. 8,9 However, due to the smaller but more frequent dosing of pethidine (25-mg bolus), as opposed to the larger (50 mg) and intermittent boluses administered by the nurses, we saw a trend toward decreasing incidence of side effects, although this did not reach statistical significance. The parturients with PCEA also trended toward earlier return to activities of self-care and care for the new born.…”

Section: Resultsmentioning

confidence: 77%

A comparison of patient-controlled epidural pethidine vs. nurse-administered epidural pethidine for analgesia after caesarean section

Lim¹,

Wilson²,

Katz³

2006

J of Opioid Management

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Patient-controlled epidural analgesia with pethidine for post-caesarean section patients has been shown to be efficacious. However, no studies to date have compared it with intermittent nurse-administered epidural pethidine. The aim of this study was to compare the analgesia efficacy, pethidine requirement, side effects, and nurses’ and patients’ satisfaction with these two techniques in postcaesarean section patients. After obtaining informed patient consent, we recruited 34 patients undergoing elective lower-segment caesarean section. A combined spinal epidural technique was used to provide anesthesia for all patients, and 50 mg pethidine was given epidurally at the end of the operation. Patients were assigned to two groups: group P (n = 17) received patient-controlled epidural analgesia with pethidine (25 mg of five mg/ml solution, lockout of 10 minutes and maximum dose of 150 mg/four hours), and group N (n = 17) received nurseadministered epidural pethidine (bolus of 50 mg and maximum dose of 50 mg/two hours) when required. We collected data at six, 12, 24, 36, and 48 hours following initiation of anesthesia. Visual analogue pain scores (median) were lower in group P than in group N, both on movement and at rest, at six, 12, 24, 36, and 48 hours postoperatively (p < 0.05). Total pethidine consumption (median) and frequency of side effects were similar in both groups. Patients in group P exhibited a trend toward earlier return to activities of daily living and care for the newborn; however, this did not reach statistical significance, and there was no difference in maternal satisfaction between the two groups. Satisfaction scores of nurses caring for patients in group P were higher than for those in group N (median 100 mm, interquartile range [IQR] 90 to 100, vs. median 90 mm, IQR 80 to 90, p < 0.05). Patient-controlled epidural analgesia with pethidine improved patients’ pain scores after caesarean section when compared with intermittent nurse-administered epidural pethidine. Regarding the mode of delivery of postoperative analgesia, we noted a higher satisfaction score among nurses caring for group P than among those caring for group N.

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Section: Resultsmentioning

confidence: 77%

A comparison of patient-controlled epidural pethidine vs. nurse-administered epidural pethidine for analgesia after caesarean section

Lim¹,

Wilson²,

Katz³

2006

J of Opioid Management

View full text Add to dashboard Cite

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“…Most reports of PCEA have used electronic devices. However, there have also been reports showing the feasibility of using disposable mechanical devices for delivering pethidine by PCEA 44,46 . These have the potential advantages of simplicity, low weight and low capital cost.…”

Section: Patient-controlled Epidural Analgesiamentioning

confidence: 99%

“…However, these devices have limited flexibility in program selection and have no record of patient demands. In addition, their disposable design may make accidental breakage more likely 46 .…”

Section: Patient-controlled Epidural Analgesiamentioning

confidence: 99%

Epidural Pethidine: Pharmacology and Clinical Experience

Kee

1998

Anaesth Intensive Care

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Pethidine is an effective epidural opioid for the treatment of acute pain. Its use has been well described in Australian and New Zealand practice, particularly in the field of obstetric anaesthesia. Reported methods of delivery have included bolus injection, continuous infusion and patient-controlled epidural analgesia. Areas of application have included treatment of postoperative pain, labour pain and intraoperative pain. Because of its intermediate lipid solubility, pethidine may have advantages over many other epidural opioids. However, potential for accumulation of norpethidine limits its use to relatively short durations of treatment.

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3 New epidural techniques for labour analgesia: patient-controlled epidural analgesia and combined spinal-epidural analgesia

Paech

1998

Baillière's Clinical Obstetrics and Gynaecology

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Patient‐Controlled Epidural Analgesia After Caesarean Section Using a Disposable Deviee

Cited by 4 publications

References 12 publications

A comparison of patient-controlled epidural pethidine vs. nurse-administered epidural pethidine for analgesia after caesarean section

A comparison of patient-controlled epidural pethidine vs. nurse-administered epidural pethidine for analgesia after caesarean section

Epidural Pethidine: Pharmacology and Clinical Experience

3 New epidural techniques for labour analgesia: patient-controlled epidural analgesia and combined spinal-epidural analgesia

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