Key result
Patient controlled epidural analgesia significantly decreased postoperative VAS pain scores (p<0.05) and reduced mean analgesic consumption compared to intermittent bolus epidural analgesia.
Why the study?
Orthopedic surgeries lead to moderate to severe postoperative pain, treating which is a challenge to the anesthesiologist.
Does patient controlled epidural analgesia (PCEA) improve postoperative pain relief compared to conventional intermittent bolus epidural analgesia (IBEA) in patients undergoing orthopedic lower limb surgeries?
RCT (n=60)
Double-blind
Computer generated number tables
No
Does patient controlled epidural analgesia (PCEA) improve postoperative pain relief compared to conventional intermittent bolus epidural analgesia (IBEA) in patients undergoing orthopedic lower limb surgeries?
p-value: p=<0.05
Patient-controlled epidural analgesia provides superior pain relief, reduces analgesic consumption, and yields higher patient satisfaction compared to intermittent bolus epidural analgesia after lower limb orthopedic surgeries.
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Supports PCEA for postoperative analgesia in lower limb orthopedic surgery; extends RCT evidence favoring patient-controlled over bolus epidural regimens.
Ramdev et al. (2023) conducted an RCT in Lower limb orthopedic surgeries (n=60). Patient controlled epidural analgesia (PCEA) with bupivacaine and fentanyl vs. Intermittent bolus epidural analgesia (IBEA) with 10 ml of 0.0625% bupivacaine and 1.5 mcg/ml fentanyl per hour was evaluated on Visual Analogue Scale (VAS) score for pain (p=<0.05). Patient controlled epidural analgesia significantly decreased postoperative VAS pain scores (p<0.05) and reduced mean analgesic consumption compared to intermittent bolus epidural analgesia.
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