Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.14/4378
Título: Morphine Patient Controlled Analgesia for Postoperative Analgesia in Patients Who Have Transplanted Cadaver Donor Kidneys
Autor: Madeira, I.
Frada, R.
Marvão, J.
Cruz, F.
Casal, M.
Costa, Elísio
Palavras-chave: renal transplantation
Morphine
Data: Fev-2011
Editora: Elsevier
Citação: 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)
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.
Peer review: yes
URI: http://hdl.handle.net/10400.14/4378
Versão do Editor: http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VJ0-5265G11-4-1&_cdi=6080&_user=2460358&_pii=S0041134510019573&_origin=gateway&_coverDate=02%2F28%2F2011&_sk=999569998&view=c&wchp=dGLzVzb-zSkzk&md5=15d14923ffa6cfbd1338991ff2345b4f&ie=/sdarticle.pdf
Aparece nas colecções:ICS(P) - Artigos em revistas internacionais com Arbitragem / Papers in international journals with Peer-review

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