title: [Intravenous patient-controlled analgesia (IV-PCA) for relief of postoperative pain].
abstract: Intravenous patient-controlled analgesia (IV-PCA) using opioids such as morphine and fentanyl can be an effective analgesic method for post-operative pain that is resistant to conventional administration of narcotic analgesics and nonsteroidal anti-inflammatory drugs, and where epidural block and peripheral nerve block are not feasible. In addition to post-operative pain relief, IV-PCA can facilitate early ambulation, reduce respiratory complications, and increase patient satis-faction. However, respiratory and circulatory depression, and post-operative nausea and vomiting (PONV) often occur as side effects of IV-PCA with opioids. Administration of droperidol can be an effective treatment for PON.
authors.affiliation: Department of Anesthesiology, Teikyo University School of Medicine, Tokyo 173-8605.
authors.forename: Ju
authors.initials: J
authors.lastname: Mizuno
authors.forename: Shigeho
authors.initials: S
authors.lastname: Morita
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Hanaue
authors.forename: Kazuo
authors.initials: K
authors.lastname: Hanaoka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yokoyama
mesh_terms: D016058:Analgesia, Patient-Controlled; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000009:adverse effects; D000932:Antiemetics / Q000008:administration & dosage; D004329:Droperidol / Q000008:administration & dosage; D005283:Fentanyl / Q000008:administration & dosage* / Q000009:adverse effects; D006801:Humans; D007262:Infusions, Intravenous; D009020:Morphine / Q000008:administration & dosage* / Q000009:adverse effects; D010149:Postoperative Pain / Q000188:drug therapy*; D020250:Postoperative Nausea and Vomiting / Q000517:prevention & control
chemical_list: D000701:Analgesics, Opioid; D000932:Antiemetics; D009020:Morphine; D004329:Droperidol; D005283:Fentanyl