PCA-pump for analgesia following pediatric scoliosis surgery: bolus administration with/without basal infusion

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dc.authoridArikan, Emre/0000-0001-5033-893X
dc.contributor.authorIsik, Cengiz
dc.contributor.authorDemirhan, Abdullah
dc.contributor.authorAyanoglu, Tacettin
dc.contributor.authorArikan, Emre
dc.date.accessioned2024-09-25T19:56:15Z
dc.date.available2024-09-25T19:56:15Z
dc.date.issued2024
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractObjectives The aim of this study is to compare the use of two different opioid delivery systems (bolus PCA with/without basal infusion) to control postoperative pain and evaluate the side effect profile in pediatric patients undergoing scoliosis surgery. Patients and methods 38 patients who underwent posterior spinal fusion for adolescent idiopathic scoliosis were included in the study. Patients were randomly divided into 2 groups by the computer. Patients who received only bolus PCA were named Group 1, and patients who received bolus PCA with basal infusion were named Group 2.Morphine consumption, postoperative pain assessmentduring rest, movement and coughing with numeric rating scale (NRS) and the Wong -Baker pain scale, heart rate and average blood pressure, sedation levels withRamsey sedation scale and side effects such as nausea, vomiting, itching, desaturation, and urinary retention were recorded. Results Total mean morphine consumption (mg) was 32.7 +/- 9.7 in Group 1 and 43.4 +/- 9.1 in Group 2. The mean morphine consumption (mg) at 12-24 hours and 0-48 hours in Group 1 was statistically lower than Group 2 (p = 0.001). There was no significant difference between the groups in terms of median NRS scores (p = 0.55). There was no statistically significant difference in the evaluation of the groups in terms of Wong-Baker pain scale. Wong-Baker pain scale is p:0.66 at the 2nd hour, p:0.951 at the 12th hour and p:0.467 at the 24th hour.There was no statistically significant difference in Ramsay Sedation Scale evaluation between groups during each follow-up time (p > 0.05). The Ramsay Sedation Scale was p: 0.94 at the 2nd hour, p:1.0 at the 12th hour, and p:1.0 at the 24th hour. The duration of vomiting between 0-2 h, 2-24 h and 0-48 h was higher in Group 2 (p = 0.001, p = 0.024, p = 0.001). Conclusion The two administration settings of morphine sulphate by PCA pump have shown to be equally effective in the treatment of postoperative pain following PSF. In addition, PCA with basal infusion administration causes more opioid consumption and more systemic side effects. Therefore, the use of only bolus PCA in pediatric scoliosis surgery should be encouraged. Level of evidenceLevel II, Randomized Controlled Trial.en_US
dc.identifier.doi10.1007/s43390-024-00876-1
dc.identifier.endpage1297en_US
dc.identifier.issn2212-134X
dc.identifier.issn2212-1358
dc.identifier.issue5en_US
dc.identifier.pmid38656655en_US
dc.identifier.scopus2-s2.0-85191241201en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1289en_US
dc.identifier.urihttps://doi.org/10.1007/s43390-024-00876-1
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13213
dc.identifier.volume12en_US
dc.identifier.wosWOS:001207705700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofSpine Deformityen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectAnalgesiaen_US
dc.subjectPain managementen_US
dc.subjectScoliosisen_US
dc.subjectSpine surgeryen_US
dc.titlePCA-pump for analgesia following pediatric scoliosis surgery: bolus administration with/without basal infusionen_US
dc.typeArticleen_US

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