Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/4378 |
Resumo: | Introduction. Patients who have chronic renal disease present challenges to anesthesiologists because of the sequelae of the underlying disease. Postoperative pain is usually mild to moderate after renal transplantation and is a concern because of underlying co-morbidities and variable responses of the graft. Effective postoperative pain management contributes to a a successful outcome after renal transplantation. Methods. A retrospective study, based on the collected data from clinical process and registration of the acute pain unit. Results. During 2007 and 2008, 124 patients were transplanted with cadaver donor kidneys. The final sample included 55 patients, namely 67% males and 33% females, whose ages range between 15 and 75 years (average, 47.23 years). Their American Society of Anesthesiologists physical status classification was 4 in 71% and 3 in 29%. Analgesia during surgery used a fentanyl, paracetamol and morphine protocol (n 47) or fentanyl, paracetamol, morphine, and local anesthetic infiltration (n 8). The postoperative pain was quantified using a numerical rating scale (0–4) with mean value of 1.07 on day 1, a mean value of 1 on day 2, and a mean value of 0.67 on day 3. Postoperative analgesia with morphine patient-controlled analgesia was used for every patient, combined with paracetamol in 89% of cases. The average number of bolus demands was 60 with 26.4 effective boluses, the mean total administered dose was 26.6 mg. The major side effects were constipation (18%), pruritus (14%), nausea (13%), and vomiting (1.8%). The following relations were significance: age and score of pain, pruritus and total dose of morphine, preoperative analgesia, and pain score on day 2. Conclusions. Our results suggest that analgesia with morphine patient-controlled analgesia was an effective method to achieve control of postoperative pain in this population with few side effects. |
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Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneysRenal transplantationMorphineIntroduction. Patients who have chronic renal disease present challenges to anesthesiologists because of the sequelae of the underlying disease. Postoperative pain is usually mild to moderate after renal transplantation and is a concern because of underlying co-morbidities and variable responses of the graft. Effective postoperative pain management contributes to a a successful outcome after renal transplantation. Methods. A retrospective study, based on the collected data from clinical process and registration of the acute pain unit. Results. During 2007 and 2008, 124 patients were transplanted with cadaver donor kidneys. The final sample included 55 patients, namely 67% males and 33% females, whose ages range between 15 and 75 years (average, 47.23 years). Their American Society of Anesthesiologists physical status classification was 4 in 71% and 3 in 29%. Analgesia during surgery used a fentanyl, paracetamol and morphine protocol (n 47) or fentanyl, paracetamol, morphine, and local anesthetic infiltration (n 8). The postoperative pain was quantified using a numerical rating scale (0–4) with mean value of 1.07 on day 1, a mean value of 1 on day 2, and a mean value of 0.67 on day 3. Postoperative analgesia with morphine patient-controlled analgesia was used for every patient, combined with paracetamol in 89% of cases. The average number of bolus demands was 60 with 26.4 effective boluses, the mean total administered dose was 26.6 mg. The major side effects were constipation (18%), pruritus (14%), nausea (13%), and vomiting (1.8%). The following relations were significance: age and score of pain, pruritus and total dose of morphine, preoperative analgesia, and pain score on day 2. Conclusions. Our results suggest that analgesia with morphine patient-controlled analgesia was an effective method to achieve control of postoperative pain in this population with few side effects.ElsevierVeritati - Repositório Institucional da Universidade Católica PortuguesaMadeira, I.Frada, R.Marvão, J.Cruz, F.Casal, M.Costa, E.2011-06-03T14:50:03Z2011-022011-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/4378engMADEIRA, I. [et. al.] - Morphine Patient Controlled Analgesia for Postoperative Analgesia in Patients Who Have Transplanted Cadaver Donor Kidneys. In 9th Luso Brazilian Congress of Transplant. Porto, Portugal, 2-5 Outubro, 2010 - Transplantation Proceedings, 43, 125–130 (2011)10.1016/j.transproceed.2010.12.0427995178465221335169000287679100023info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-24T01:32:38Zoai:repositorio.ucp.pt:10400.14/4378Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:05:46.868679Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys |
title |
Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys |
spellingShingle |
Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys Madeira, I. Renal transplantation Morphine |
title_short |
Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys |
title_full |
Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys |
title_fullStr |
Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys |
title_full_unstemmed |
Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys |
title_sort |
Morphine patient controlled analgesia for postoperative analgesia in patients who have transplanted cadaver donor kidneys |
author |
Madeira, I. |
author_facet |
Madeira, I. Frada, R. Marvão, J. Cruz, F. Casal, M. Costa, E. |
author_role |
author |
author2 |
Frada, R. Marvão, J. Cruz, F. Casal, M. Costa, E. |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Madeira, I. Frada, R. Marvão, J. Cruz, F. Casal, M. Costa, E. |
dc.subject.por.fl_str_mv |
Renal transplantation Morphine |
topic |
Renal transplantation Morphine |
description |
Introduction. Patients who have chronic renal disease present challenges to anesthesiologists because of the sequelae of the underlying disease. Postoperative pain is usually mild to moderate after renal transplantation and is a concern because of underlying co-morbidities and variable responses of the graft. Effective postoperative pain management contributes to a a successful outcome after renal transplantation. Methods. A retrospective study, based on the collected data from clinical process and registration of the acute pain unit. Results. During 2007 and 2008, 124 patients were transplanted with cadaver donor kidneys. The final sample included 55 patients, namely 67% males and 33% females, whose ages range between 15 and 75 years (average, 47.23 years). Their American Society of Anesthesiologists physical status classification was 4 in 71% and 3 in 29%. Analgesia during surgery used a fentanyl, paracetamol and morphine protocol (n 47) or fentanyl, paracetamol, morphine, and local anesthetic infiltration (n 8). The postoperative pain was quantified using a numerical rating scale (0–4) with mean value of 1.07 on day 1, a mean value of 1 on day 2, and a mean value of 0.67 on day 3. Postoperative analgesia with morphine patient-controlled analgesia was used for every patient, combined with paracetamol in 89% of cases. The average number of bolus demands was 60 with 26.4 effective boluses, the mean total administered dose was 26.6 mg. The major side effects were constipation (18%), pruritus (14%), nausea (13%), and vomiting (1.8%). The following relations were significance: age and score of pain, pruritus and total dose of morphine, preoperative analgesia, and pain score on day 2. Conclusions. Our results suggest that analgesia with morphine patient-controlled analgesia was an effective method to achieve control of postoperative pain in this population with few side effects. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-06-03T14:50:03Z 2011-02 2011-02-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/4378 |
url |
http://hdl.handle.net/10400.14/4378 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
MADEIRA, I. [et. al.] - Morphine Patient Controlled Analgesia for Postoperative Analgesia in Patients Who Have Transplanted Cadaver Donor Kidneys. In 9th Luso Brazilian Congress of Transplant. Porto, Portugal, 2-5 Outubro, 2010 - Transplantation Proceedings, 43, 125–130 (2011) 10.1016/j.transproceed.2010.12.042 79951784652 21335169 000287679100023 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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