scholarly journals Efficacy of post-operative intravenous patient-controlled analgesia after total laparoscopic hysterectomy

2017 ◽  
Vol 33 (2) ◽  
pp. 153-159
Author(s):  
Seina Hori ◽  
Yutoku Shi ◽  
Yuka Ejima ◽  
Tomohiro Ueda ◽  
Kyoko Hayashida ◽  
...  
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Patient Controlled Analgesia

scholarly journals The effect of newly designed dual-channel elastomeric pump for intravenous patient-controlled analgesia after total laparoscopic hysterectomy: a randomised, double-blind, prospective study

2020 ◽  
Author(s):  
Seok Kyeong Oh ◽  
Heezoo Kim ◽  
Young Sung Kim ◽  
Chung Hun Lee ◽  
Jung Suk Oh ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Flow Rate ◽  
Normal Saline ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Patient Controlled Analgesia ◽  
Quality Of Recovery ◽  
Dual Channel ◽  
Group 16

Abstract Background: A newly designed intravenous patient-controlled analgesia (PCA) device with dual-channel elastomeric infusion pump has been recently introduced. One channel is a continuous line with a constant flow rate basal infusion, while the other channel has an adjustable flow rate and bolus function, and is labeled as a selector-bolus channel. This study compared dual and single channel intravenous PCA in terms of clinical effect and quality of recovery.Methods: Eighty-four patients undergoing total laparoscopic hysterectomy were randomly allocated to a 1-channel group (n = 41) or a 2-channel group (n = 43). Only the selector-bolus channel was utilised, but the continuous channel was not utilised in the 1-channel group, but both channels were utilised in the 2-channel group. In the 1-channel group, 16 µg/kg fentanyl, 2 mg/kg ketorolac, and 12 mg ondansetron with normal saline was administered to the selector-bolus channel, and normal saline only in the continuous channel for blinding. In the 2-channel group, 16 µg/kg fentanyl was administered to the selector-bolus channel, and ketorolac (2 mg/kg) and ondansetron (12 mg) were administered via the continuous channel. The quality of recovery was evaluated preoperatively and 24 h postoperatively using the Quality of Recovery-40 (QoR-40). Cumulative PCA consumption, postoperative pain rated using the numeric rating scale (NRS; during rest/cough), and postoperative nausea were evaluated 6, 12, 24, 36, and 48 hours after surgery. Incidence of vomiting and use of antiemetics and rescue analgesics were measured.Results: The 24-h postoperative QoR-40 score was higher in the 2-channel group than in the 1-channel group (P=0.031). The incidence of nausea at 12 h and 36 h was significantly higher in the 1-channel group (P=0.043 and 0.040, respectively), and antiemetic use was more frequent in the 1-channel group (P=0.049). Patient satisfaction was higher in the 2-channel group (P=0.036). No significant differences were observed in pain scores during resting/cough or cumulative PCA consumption.Conclusions: The 2-channel PCA showed a lower incidence of nausea and antiemetics administration, and consequently higher overall patient satisfaction and quality of recovery with comparable analgesic efficacy to that of the 1-channel PCA after total laparoscopic hysterectomy.Trial registration: Registered at ClinicalTrials.gov, NCT04082039 on 9 September 2019.

Drivers of Cost for Total Laparoscopic Hysterectomy Performed by Gynecologic Oncologists

2011 ◽  
Vol 18 (6) ◽  
pp. S3
Author(s):  
K.M. Esselen ◽  
D. Boruta ◽  
J. Schorge ◽  
A. Goodman ◽  
M. del Carmen ◽  
...  
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy

Total Laparoscopic Hysterectomy with Earlier Uterine Artery Ligation

2008 ◽  
Vol 15 (3) ◽  
pp. 355-359 ◽  
Author(s):  
Rakesh Sinha ◽  
Meenakshi Sundaram ◽  
Yogesh A. Nikam ◽  
Aparna Hegde ◽  
Chaitali Mahajan
Keyword(s):  
Uterine Artery ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Artery Ligation ◽  
Uterine Artery Ligation
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