Management of burn pain in children: Comparison of PCA and continuous infusion of morphine [Yanikli cocuklarda postoperatif agri tedavisinde morfinin hasta kontrollu analjezi ve surekli infuzyon uygulamalarinin karsilastirilmasi]
Küçük Resim Yok
Tarih
1998
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
The efficacy of morphine via patient-controlled analgesia (PCA) and continuous infusion for postoperative analgesia in pediatric burn patients was compared. Morphine was administered 15 µg/kg/h in the continuous infusion group; bolus dose of 20 µg/kg with lock-out time 10 min. and a background infusion of 10 µg/kg/h in the PCA group. Pain and sedation scores, cumulative morphine doses and side-effects were observed every 4 hours; vital parameters every 2 hours for 48 hours in the follow-up period. Pain scores in both groups decreased significantly during the study period when compared with initial pain scores (p<0.01). No differences were detected between the groups with respect to the pain scores except in the first 4 h in the PCA group. None of the patients had oversedation, respiratory depression and major hemodynamic alteration. Morphine consumption was similar in the groups. We concluded that administration of morphine in appropriate doses by both methods is safe and effective for postoperative pain relief in pediatric burn patients.
Açıklama
Anahtar Kelimeler
Burn, Morphine, Patient-controlled analgesia
Kaynak
Agri
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
10
Sayı
1
