| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2023-03-18 |
| タイトル |
|
|
タイトル |
Relationship Between Age and Frequency of Side Effects Associated with Postoperative Analgesia |
|
言語 |
en |
| 作成者 |
Hamada, Hiroshi
Miyoshi, Hirotsugu
Nakamura, Ryuji
Kawamoto, Masashi
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
patient-controlled analgesia |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
side effects |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
age |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
opioid |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
epidural |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
postoperative analgesia |
| 主題 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| 内容記述 |
|
|
内容記述 |
Study Objective: Although patient-controlled analgesia (PCA) is a valid analgesic method, it is necessary to pay attention to associated side effects, especially in elderly patients. It is unclear whether the incidence of side effects increases with age. In this study, we examined the incidence of side effects by age to confirm whether the frequency of side effects varies depending on age group. Patients: Patients who underwent gastroenterological surgery at Hiroshima University Hospital between 2009 and 2013 and received postoperative analgesia using PCA [either epidural PCA (PCEA) or intravenous PCA (IVPCA) were included]. Measurements: The degree of pain using the visual analog scale, number of PCA requests, and frequency of side effects, including nausea, vomiting, pruritus, urinary disturbance, drowsiness, low blood pressure, delirium, and respiratory depression, was determined from PCA records. Main Results: A total of 2,881 patients were enrolled and categorized into PCEA (n = 1,965) or IVPCA (n = 916) group based on postoperative analgesia. The incidence of delirium significantly increased with age in both groups (P < 0.001). In the PCEA group, the incidence of nausea, vomiting, and itching decreased, whereas that of hypotension significantly increased with age. Visual analog scale scores both at rest and during activity on postoperative day 2 were not correlated with age in either group. There was a significant negative correlation with age in both groups for the number of PCA requests on postoperative day 2. Conclusions: The incidence of postoperative delirium increases with age regardless of pain relief method. Side effects related to postoperative analgesia are not necessarily more likely to occur with age. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
広島麻酔医学会 |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0385-1664 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00232251 |
| 開始ページ |
|
|
開始ページ |
67 |
| 書誌情報 |
麻酔と蘇生
Ansesthesia and Resuscitation
巻 55,
号 1,
p. 67-70,
発行日 2019-03-01
|
| 見出し |
|
|
大見出し |
CLINICAL ARTICLE |
|
言語 |
ja |
| 見出し |
|
|
大見出し |
CLINICAL ARTICLE |
|
言語 |
en |
| 旧ID |
47566 |
AnesthResus_55-1_67.pdf (1.8 MB)
