Article Text

PDF

Patient controlled analgesia was more effective than nurse controlled analgesia after cardiac surgery

Statistics from Altmetric.com

OpenUrlCrossRefPubMedWeb of Science

QUESTION: In patients who have had elective coronary artery bypass grafting, is patient controlled analgesia (PCA), alone or combined with non-steroidal anti-inflammatory drugs, as effective as nurse controlled analgesia for pulmonary complications and quality of pain control?

Design

Randomised (allocation concealed), blinded (outcome assessor), controlled trial with 3 days of follow up.

Setting

A university medical centre in Germany.

Patients

120 patients (mean age 61 y, 84% men) who had had elective coronary artery bypass grafting. Exclusion criteria were severe underlying disease, need for catecholaminergic support after extubation of the trachea, neurological deficit preventing assessment, return to the operating room, or use of antidepressants and class 1 antiarrhythmics. Follow up was complete.

Intervention

Patients received education about pain assessment and use of PCA before surgery. All care except pain management was the same. After extubation, patients …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.