Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists
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Acta Anaesthesiol Taiwan · Sep 2006
Correlations between patient-controlled epidural analgesia requirements and individual characteristics among gynecologic patients.
Patient-controlled epidural analgesia (PCEA) has been used widely to relieve postoperative pain. Although many studies have demonstrated the safety and effectiveness of PCEA, the relationship between patients' characteristics and requirements of PCEA has not been investigated yet. We conducted this retrospective study to explore the correlations between total PCEA demand and patients' characteristics. ⋯ Disease patterns, BMI and age are associated with total PCEA requirements. Gynecologic patients receiving procedures for malignant diseases consumed more PCEA solution than benign cases. Height is not associated with total PCEA demand. There is a close correlation between BMI and PCEA consumption but age is a negative correlate.
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Acta Anaesthesiol Taiwan · Sep 2006
Randomized Controlled Trial Comparative StudyComparison of intravenous patient-controlled analgesia with buprenorphine versus morphine after lumbar spinal fusion--a prospective randomized clinical trial.
Opioid-based patient-controlled analgesia (PCA) has been used widely and effectively after spine surgery. The untoward effects of intravenous opioids could vary with the drug and dose applied. Buprenorphine, a partial opioid agonist, might be devoid of the adverse effects which the traditional opioids have. We conducted this prospective randomized clinical trial to evaluate the efficacy and safety of buprenorphine for intravenous PCA after spine surgery. ⋯ Both buprenorphine and morphine by intravenous PCA provided adequate pain relief after posterior lumbar spinal fusion. The incidences of side effects were similar in both groups except for pruritus which did not appear in buprenorphine group. Buprenorphine was as efficient as morphine and safe for intravenous PCA after spine surgery.
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Acta Anaesthesiol Taiwan · Jun 2006
Physicians' knowledge about pharmacological management of cancer pain--with special reference on their prescribing responses to simulated patients with cancer pain.
Cancer pain control is unsatisfactory in Taiwan. Insufficient knowledge about cancer pain on the part of physicians is an important factor responsible for ineffective cancer pain relief. Therefore, this study was to explore the knowledge deficits of physicians on the specific aspects of pharmacological management of cancer pain (PMCP) and their influences on the prescriptions to simulated patients in a southern medical center in Taiwan. ⋯ The PMCP knowledge deficits were prevalent in physicians and thus influenced their prescription of opioids for the simulated cases. An active continuing education program on both the international guidelines and the essential practice skills should be implemented and intensified specifically upon subgroup physicians, to correct their misconceptions and consolidate their PMCP knowledge.
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Acta Anaesthesiol Taiwan · Jun 2006
Randomized Controlled Trial Comparative StudyComparison of the anesthesia profiles between sevoflurane-nitrous oxide and propofol-nitrous oxide conveyed by laryngeal mask airway in patients undergoing ambulatory gynecological surgery.
The major purpose of this study is to evaluate and compare the clinical characteristics of sevoflurane-nitrous oxide and propofol-nitrous oxide anesthesias conveyed by laryngeal mask airway (LMA) in patients for gynecological procedures. ⋯ Intravenous propofol in combination with 67% nitrous oxide in oxygen technique provided better clinical profiles, compared with sevoflurane-nitrous oxide technique through the use of LMA in gynecological patients undergoing ambulatory short procedures.