Improving patients' postoperative sleep: a randomized control study comparing subcutaneous with intravenous patient-controlled analgesia.

Abstract:

:One hundred female patients undergoing major reconstructive plastic or gynaecological surgery were randomized to either receive subcutaneous patient-controlled analgesia (PCA) (bolus dose 2.5 mg diamorphine in 1 ml with a 20-minute lockout) or intravenous PCA (bolus dose 0.5 mg diamorphine in 1 ml with a 5-minute lockout). Data were collected by questionnaire and interview to evaluate the intervention on pain scores, quality of sleep on the first postoperative night, postoperative nausea and vomiting (PONV) and overall patient acceptability. The subcutaneous PCA group experienced less 'worse pain' (P < 0.01) and less sleep disturbance due to pain (P < 0.001). Subcutaneous PCA would appear to offer patients a safe and effective means of analgesia and may offer significant advantages over the intravenous route of administration.

journal_name

J Adv Nurs

authors

Dawson L,Brockbank K,Carr EC,Barrett RF

doi

10.1046/j.1365-2648.1999.01161.x

keywords:

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

875-81

issue

4

eissn

0309-2402

issn

1365-2648

pii

jan1161

journal_volume

30

pub_type

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