Comparison of different methods of postoperative analgesia after thoracotomy—a randomized controlled trial

• DOI: 10.21037/jtd.2018.07.88
• Publication Date: 2018-08-30T02:46:12Z
• Authors: Szymon Bialka; Maja Copik; Andrzej Daszkiewicz; Eva Rivas; Kurt Ruetzler; Lukasz Szarpak; Hanna Misiolek
• Keywords: Thoracotomy; Patient-Controlled Analgesia; Acute Pain

Continuous thoracic epidural analgesia (TEA) is a preferred method of postoperative in surgery. Intravenous patient-controlled (IVPCA) may be an effective alternative. One the most commonly used opioids PCA morphine. It has high antinociceptive efficacy but associated with many adverse events. Oxycodone can A small number scientific reports comparing morphine and oxycodone for treatment acute pain after thoracotomy was reason to conduct this study.Prospective, randomised, observational study. In total 99 patients scheduled elective were randomized into three study groups. TEA group received continuous as management, (MF) IVPCA, (OXY) IVPCA. For 48 hours' hemodynamic parameters, level pain, sedation need rescue monitored. After asked about their satisfaction using Likert scale assessment opioid related events via overall benefit score (OBAS).The visual analogic (VAS) Prince Henry Hospital Pain Score (PHHPS) scales significantly lower no significant difference between groups MF OXY. Using higher likelihood analgesia. The Ramsay compared OXY group. There differences OBAS scale. characterized by highest degree patient satisfaction.TEA provided superior anaesthesia our Use management open provides similar nociception control less IVPCA require smaller doses systemic