Parent-Controlled Analgesia in Children Undergoing Cleft Palate Repair
| العنوان: | Parent-Controlled Analgesia in Children Undergoing Cleft Palate Repair |
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| المؤلفون: | Sung Jin Lee, Kyeong Tae Min, Woo Kyung Lee, Sun Jun Bai, Beyoung Yun Park, Su Hyun Lee, Seung Ho Choi |
| المصدر: | Journal of Korean Medical Science |
| بيانات النشر: | The Korean Academy of Medical Sciences, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Male, Parents, medicine.medical_specialty, Postoperative pain, Fentanyl, Bolus (medicine), medicine, Humans, Analgesia, Parent-Controlled, Adverse effect, Pain, Postoperative, business.industry, Infant, Analgesia, Patient-Controlled, General Medicine, Confidence interval, Surgery, Cleft Palate, Regimen, Pain scoring, Anesthesia, Child, Preschool, Cleft palate repair, Original Article, Female, business, medicine.drug |
| الوصف: | The aims of this study were to find an optimal basal infusion dose of fentanyl for parent-controlled analgesia (PrCA) in children undergoing cleft palate repair and the degree of parents' satisfaction with PrCA. Thirty consecutive children between 6 months and 2 yr of age were enrolled. At the end of surgery, a PrCA device with a basal infusion rate of 2 mL/hr and bolus of 0.5 mL with lockout time of 15 min was applied. Parents were educated in patient-controlled analgesia (PCA) devices, the Wong Baker face pain scoring system, and monitoring of adverse effects of fentanyl. Fentanyl was infused 0.3 microgram/kg/hr at first, and we obtained a predetermined fentanyl regimen by the response of the previous patient to a larger or smaller dose of fentanyl (0.1 microgram/kg/hr as the step size), using an up-and-down method. ED50 and ED95 by probit analysis were 0.63 microgram/kg/hr (95% confidence limits, 0.55-0.73 microgram/kg/hr) and 0.83 microgram/kg/hr (95% confidence limits, 0.73-1.47 microgram/kg/hr), respectively. Eighty seven percent of the parents were satisfied with participating in the PrCA modality. PrCA using fentanyl with a basal infusion rate of 0.63 microgram/kg/hr can be applied effectively for postoperative pain management in children undergoing cleft palate repair with a high level of parents' satisfaction. |
| اللغة: | English |
| تدمد: | 1598-6357 1011-8934 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f30fc709411055df9eb064075a98f61d http://europepmc.org/articles/PMC2526495 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f30fc709411055df9eb064075a98f61d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15986357 10118934 |
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