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    Audit of a ward-based patient-controlled epidural analgesia service in Ireland.

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    Authors
    Tan, T
    Wilson, D
    Walsh, A
    Hu, P
    Power, C
    Affiliation
    Department of Anaesthesia and Perioperative Medicine, Coombe Women and Infants, University Hospital, Cork Street, Dublin 8, Ireland. tutan@me.com
    Issue Date
    2012-02-01T10:57:14Z
    MeSH
    Aged
    *Analgesia, Epidural/adverse effects
    *Analgesia, Patient-Controlled/adverse effects
    Anesthetics, Local/therapeutic use
    Bupivacaine/therapeutic use
    Clinical Audit
    Female
    Humans
    Ireland
    Male
    Middle Aged
    Pain Measurement
    Pain, Postoperative/*drug therapy
    Show allShow less
    
    Metadata
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    Citation
    Ir J Med Sci. 2011 Jun;180(2):417-21. Epub 2010 Nov 23.
    Journal
    Irish journal of medical science
    URI
    http://hdl.handle.net/10147/207998
    DOI
    10.1007/s11845-010-0645-5
    PubMed ID
    21104335
    Abstract
    BACKGROUND: Ward-based patient-controlled epidural analgesia (PCEA) for postoperative pain control was introduced at our institution in 2006. We audited the efficacy and safety of ward-based PCEA from January 2006 to December 2008. METHOD: Data were collected from 928 patients who received PCEA in general surgical wards for postoperative analgesia using bupivacaine 0.125% with fentanyl 2 mug/mL. RESULTS: On the first postoperative day, the median visual analogue pain score was 2 at rest and 4 on activity. Hypotension occurred in 21 (2.2%) patients, excessive motor blockade in 16 (1.7%), high block in 5 (0.5%), nausea in 5 (0.5%) and pruritus in only 1 patient. Excessive sedation occurred in two (0.2%) patients but no intervention was required. There were no serious complications such as epidural abscess, infection or haematoma. CONCLUSION: Effective and safe postoperative analgesia can be provided with PCEA in a general surgical ward without recourse to high-dependency supervision.
    Language
    eng
    ISSN
    1863-4362 (Electronic)
    0021-1265 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1007/s11845-010-0645-5
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

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