Evaluación de la Anestesia Controlada por el Paciente en el Posoperatorio de la Cirugía Cardíaca con Infusión Continúa de Morfina: Publicado Originalmente en la Revista Dor (São Paulo). 2010 Oct-Dic;11(4):292-6.

Fabiane Almeida Mota; João Fernando Marcolan; Solange Diccini; Adriano Márcio De Melo Milanez

doi:10.47924/neurotarget2011328

Authors

Fabiane Almeida Mota Nurse of the Permanent Education Unit of the Hospital de Clínicas de San Pablo; candidate for the Master's Degree at the Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
João Fernando Marcolan Research coordinator, professor at the Department of the School of Nursing of the Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
Solange Diccini Research coordinator, professor at the School of Nursing of the Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
Adriano Márcio De Melo Milanez Cardiovascular surgeon and PhD candidate at the Heart Institute, São Paulo, SP, Brazil.

DOI:

https://doi.org/10.47924/neurotarget2011328

Keywords:

heart surgery, morphine, patient-controlled analgesia, postoperative pain

Abstract

Background and Objectives: Patient-controlled analgesia pump (PCA) allows for the safe administration of opioids in different schedules. This study aimed at evaluating analgesia, side-effects and analgesic consumption of patients in the postoperative period of heart surgery using intravenous PCA in continuous infusion plus morphine bolus.
Method: Prospective study carried out in a hospital of São Paulo. Patients were followed-up as from extubation every 6 h, until 30h. The following variables were evaluated: pain intensity, analgesic consumption, number of analgesic requests and side-effects.
Results: There has been no pain in 86% of patients. Predominant side-effects were nausea and vomiting with significant decrease in morphine consumption and request.
Conclusion: Continuous infusion plus bolus is safe and effective to control pain.

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