Abstract：
BACKGROUND AND OBJECTIVES:The rapid development seen in recent years in surgical and anesthetic techniques allowed for an increased indication of invasive procedures. At the same time, with the aging of the population, the postoperative recovery period became the focus of major concern for the healthcare team. For such, new analgesic techniques were developed, among them, Patient Controlled Analgesia (PCA). In Brazil, the Acute Pain Service (SEDA) of the Anesthesiology Department, Botucatu Medical School - UNESP, has been using PCA for many years. Aiming at verifying the quality of the service provided, this research has evaluated the efficacy and safety of the technique, in addition to identifying and characterizing patients submitted to PCA. METHODS:Participated in this retrospective study 679 patients treated by SEDA with the PCA method only, during a 3-year period. Patients were randomly included in the study with no restrictions concerning age, gender and type of surgery, considering only the possibility of PCA. The following parameters were evaluated: gender, age, type of surgery, pain score, treatment duration, analgesic drugs used, administration route, side effects and complications. RESULTS:The PCA technique was used in 3.96% of patients submitted to surgical procedures and in 1.64% of all hospitalized patients. Thoracic surgeries were the most frequent procedures and accounted for 25% of patients. Morphine was the most commonly used analgesics (54.2%) and the epidural route was the most frequent route of administration. Mean verbal numeric scale was 0.8 (0-10), and side effects were present in 22.4% of treated patients. CONCLUSIONS:Results were considered excellent in terms of quality of analgesia, although with the incidence of some side effects. The PCA technique was widely accepted by the medical specialties of the hospital.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Barros GA,Lemonica Ldoi
10.1590/s0034-70942003000100010subject
Has Abstractpub_date
2003-02-01 00:00:00pages
69-82issue
1eissn
0034-7094issn
1806-907Xpii
S0034-70942003000100010journal_volume
53pub_type
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942007000500009
更新日期：2007-10-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
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doi：10.1590/s0034-70942006000500012
更新日期：2006-10-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
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abstract：BACKGROUND AND OBJECTIVES:Microspheres can be used as a controlled delivery system to prolong the duration of action of local anesthetics. The objective of this study was the preparation, characterization and analysis of the in vitro release of 50% enantiomeric excess bupivacaine (S75-R25)-loaded microspheres. METHODS...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942008000100003
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Bupivacaine preparations, plain or with glucose, are frequently used in the clinical practice. Blockade upper level is determined by local anesthetic spread in the CSF. This study aimed at comparing isobaric and hyperbaric bupivacaine in patients submitted to spinal anesthesia for Cesarean sec...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Maintaining target-controlled propofol blood concentrations in approximately constant levels is a technique that can be used in a simple way in the operating room. The aim of this study was to compare in clinical and laboratorial terms propofol infusion in children, using Shorts and Marshs pha...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942002000300002
更新日期：2002-06-01 00:00:00
abstract：INTRODUCTION:Morbidity and mortality associated with urgent or emergency surgeries are high compared to elective procedures. Perioperative risk scores identify the non-elective character as an independent factor of complications and death. The present study aims to characterize the population undergoing non-elective su...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2018.04.001
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Hyperbaric bupivacaine is commercially available in its racemic form. In Brazil, 50% enantiomeric excess bupivacaine (S75:R25) was introduced as an isobaric presentation. The objective of this study was to evaluate different volumes of hyperbaric S75:R25 bupivacaine in spinal blocks for infrau...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,随机对照试验
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更新日期：2009-01-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2017.03.006
更新日期：2017-01-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942004000400008
更新日期：2004-08-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Different oxygenation techniques aim at promoting denitrogenation before apnea during induction. The main reason why CIO2 = 100% cannot be reached is the lack of adequate face mask coupling, allowing the entry of room air. Although anesthesiologists know this principle, not all of them apply i...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942005000500004
更新日期：2005-10-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/S0034-7094(12)70135-6
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2016.02.001
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Since the beginning, soda lime use has presented some complications which resulted in its difficult application. However major advantages such as decreasing fresh gas flow, anesthetic consumption and operating room pollution, and improving breathing system and airway humidity, have pushed rese...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942004000300015
更新日期：2004-06-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942003000600012
更新日期：2003-12-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942007000100008
更新日期：2007-02-01 00:00:00
abstract：OBJECTIVES:The purpose of this study is to compare the efficacy of iliohypogastric/ilioinguinal nerve blocks performed with the ultrasound guided and the anatomical landmark techniques for postoperative pain management in cases of adult inguinal herniorrhaphy. METHODS:40 patients, ASA I-II status were randomized into ...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2014.01.001
更新日期：2014-09-01 00:00:00
abstract：INTRODUCTION:Blood is an important resource in several lifesaving interventions, such as anemia correction and improvement of oxygen transport capacity. Despite advances, packed red blood cell (PRBC) transfusion still involves risks. The aim of this study was to describe the knowledge of anesthesiologists about the ind...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2016.09.011
更新日期：2017-01-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,评审
doi：10.1590/s0034-70942009000100012
更新日期：2009-01-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,评审
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journal_title：Revista brasileira de anestesiologia
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更新日期：2011-09-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942008000200004
更新日期：2008-03-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2016.04.011
更新日期：2017-01-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章,评审
doi：10.1016/S0034-7094(12)70182-4
更新日期：2012-11-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2014.08.001
更新日期：2017-01-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942007000200005
更新日期：2007-04-01 00:00:00
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journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2014.02.009
更新日期：2015-09-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Postoperative delirium and postoperative cognitive dysfunction are some of the most common complications in older surgical patients and are associated with adverse outcomes. The aim of this study was to evaluate portuguese anesthesiologists' perspectives and knowledge about adverse postoperati...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2018.02.009
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Tracheobronchial tree injuries are uncommon however severe complications after intubation or bronchoscopy. This report aimed at calling the attention to the difficult selective intubation, which has led to bronchial rupture associated to pneumomediastinum and hypertensive pneumothorax, with ai...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1590/s0034-70942005000600009
更新日期：2005-12-01 00:00:00
