Assessment of effi cacy of patient-controlled epidural analgesia after nephrolithotomy and nephrectomy

Abstract


Patient-controlled epidural analgesia (PCEA) may provide effective postoperative analgesia after surgery. The main goal of our study was to assess the effi cacy and safety PCEA after nephrolithotomy and nephrectomy. We enrolled 60 adult patients. All patients have been divided on 2 groups. After surgery in the fi rst group (n=30) standard epidural analgesia 0,2% naropine with fentanyle 2 mkg/ml and adrenaline 2 mkg/ml was used. In the second group (n=30) we used PCEA 0,2% naropine with fentanyle 2 mkg/ml and adrenaline 2 mkg/ml with a lockout interval of 15 min, a continuous background infusion of 2 ml/h and bolus 4 ml. Pain scores were assessed in rest and coughing by 10-point visual analog scale (VAS) at 6, 12, 24 h. after ICU admission. In addition, the consumption of naropine and the incidence of adverse effects were recorded. Data were compared using Student’s t-test and x2 test. VAS was signifi cantly lower in second group. PCEA was more effective within the fi rst 24 hours.

Воронежская областная клиническая больница №1

Author for correspondence.
Email: morozov@vmail.ru
доктор медицинских наук, заведующий отделением анестезиoлогии и реанимации №2 Воронежской областной клинической больницы № 1

Воронежская областная клиническая больница №1

Email: goncharova_eg@mail.ru
врач отделения анестезиологии и реанимации №2 Воронежской областной клинической больницы № 1

Воронежская государственная медицинская академия им. Н.Н.Бурденко

Email: admin@vestnik-surgery.com
доктор медицинских наук, профессор, заведующий кафедрой анестезиологии и реаниматологии ИПМО Воронежской государственной медицинской академии им. Н.Н.Бурденко

Воронежская областная клиническая больница №1

Email: eremina@mail.ru
врач отделения анестезиологии и реанимации №2 Воронежской областной клинической больницы № 1

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