title: Patient-controlled intranasal analgesia: a method for noninvasive postoperative pain management.
abstract: Recently, a new device for patient-controlled intranasal analgesia (PCINA) was described, and a pilot study demonstrated promising results with respect to efficacy and patient satisfaction. The present study compares PCINA with intravenous (IV) patient-controlled analgesia (PCA). Fifty orthopedic patients were prospectively studied over an 8-h period on the first day after surgery. The patients were randomly allocated to PCINA group (n = 25) or to an IV PCA group (n = 25). Pain intensity was evaluated at 30-min intervals using a 101-point numerical rating scale. With respect to initial pain intensity, there was no significant intergroup difference. At the 30- to 480-min measurement points pain intensity in the PCINA group (P < 0.0001) and the IV PCA group (P < 0.0001) was significantly less as compared to the initial value. There was no significant intergroup difference in pain intensity. No patient had problems using the PCINA device. The present study demonstrates, that PCINA provides relief of postoperative pain as effectively as IV PCA.
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Benjamin Franklin Medical Center, Free University of Berlin, Germany.
authors.forename: H W
authors.initials: HW
authors.lastname: Striebel
authors.forename: T
authors.initials: T
authors.lastname: Oelmann
authors.forename: C
authors.initials: C
authors.lastname: Spies
authors.forename: A
authors.initials: A
authors.lastname: Rieger
authors.forename: R
authors.initials: R
authors.lastname: Schwagmeier
mesh_terms: D000281:Administration, Intranasal; D000328:Adult; D016058:Analgesia, Patient-Controlled / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D011446:Prospective Studies