Simplified postoperative patient-controlled analgesia on a gynecologic oncology service.
Twenty-nine women who underwent various abdominal operations for gynecologic malignancies self-administered postoperative analgesia by means of disposable Travenol Infusors with Patient Control Modules. Administration of morphine sulfate at a rate of 1 mg per injection and a maximum of 10 mg per hour via patient-controlled analgesia was judged satisfactory by all 29 patients. The mean dose rate administered ranged from 1.2 to 1.5 mg per hour per day during the first 3 days postoperatively. No respiratory depression occurred and excessive sedation was reported by only 2 patients after the first 24 hr postoperatively. If further surgeries were required, more than 90% of these patients would prefer patient-controlled analgesia to intramuscular injections.
Berman
M L
ML
Department of Obstetrics and Gynecology, University of California, Irvine Medical Center, Orange 92668.
Briggs
G G
GG
Bogh
P
P
Mannel
R
R
Manetta
A
A
DiSaia
P J
PJ
D000328:Adult; D000368:Aged; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007260:Infusion Pumps; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D012651:Self Medication / Q000379:methods*
D000701:Analgesics, Opioid; D009020:Morphine