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

dc.contributor.authorTan, T
dc.contributor.authorWilson, D
dc.contributor.authorWalsh, A
dc.contributor.authorHu, P
dc.contributor.authorPower, C
dc.date.accessioned2012-02-01T10:57:14Z
dc.date.available2012-02-01T10:57:14Z
dc.date.issued2012-02-01T10:57:14Z
dc.identifier.citationIr J Med Sci. 2011 Jun;180(2):417-21. Epub 2010 Nov 23.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid21104335en_GB
dc.identifier.doi10.1007/s11845-010-0645-5en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207998
dc.description.abstractBACKGROUND: 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.
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.mesh*Analgesia, Epidural/adverse effectsen_GB
dc.subject.mesh*Analgesia, Patient-Controlled/adverse effectsen_GB
dc.subject.meshAnesthetics, Local/therapeutic useen_GB
dc.subject.meshBupivacaine/therapeutic useen_GB
dc.subject.meshClinical Auditen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPain Measurementen_GB
dc.subject.meshPain, Postoperative/*drug therapyen_GB
dc.titleAudit of a ward-based patient-controlled epidural analgesia service in Ireland.en_GB
dc.contributor.departmentDepartment of Anaesthesia and Perioperative Medicine, Coombe Women and Infants, University Hospital, Cork Street, Dublin 8, Ireland. tutan@me.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster
html.description.abstractBACKGROUND: 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.


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