EVALUATION OF ANALGESIC EFFICACY FOLLOWING RENAL TRANSPLANTATION USING BUPIVACAINE-FENTANYL MIXTURE VIA PATIENT-CONTROLLED EPIDURAL ANALGESIA
DOI:
https://doi.org/10.59459/1859-1655/JMM.835Từ khóa:
PCEA, renal transplantation, postoperative analgesiaTóm tắt
Objectives: To evaluate the analgesic efficacy of a bupivacaine-fentanyl mixture administered via patient-controlled epidural analgesia (PCEA) following renal transplantation.
Subjects and methods: A cross-sectional descriptive study was conducted on 50 patients who underwent renal transplantation at Military Hospital 103 and received postoperative analgesia using a bupivacaine-fentanyl mixture via PCEA. Analgesic efficacy was assessed using the visual analog scale (VAS), total drug consumption, number of PCEA demands and successful attempts, and time to first rescue analgesic request.
Results: Resting VAS pain scores decreased progressively over time, from 3.96 ± 0.49 at baseline (H0) to 2.1 ± 0.76 at 24 hours and 1.54 ± 0.78 at 72 hours postoperatively (p < 0.05). Mean bupivacaine and fentanyl doses were highest on the first postoperative day and declined on subsequent days. The mean number of PCEA demands peaked on postoperative day one (15.36 ± 2.31 attempts). The mean time to first rescue analgesic request was 10.25 ± 2.09 hours.
Conclusions: Patient-controlled epidural analgesia using a bupivacaine-fentanyl mixture provides effective postoperative pain control in patients following renal transplantation
Tài liệu tham khảo
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Ngày xuất bản 31-05-2026
