Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study
Lumbar discectomy is the most common surgical treatment for intervertebral disc extrusion. Postoperative pain is a common clinical problem that greatly affects the length of hospitalization, functional status and patient quality of life. Th e aim of this study was to compare the postoperative analge...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2017-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/274934 |
| _version_ | 1797207814519652352 |
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| author | Biljana Kurtović Krešimir Rotim Inga Mladić Batinica Milan Milošević Boris Božić Sonja Kalauz |
| author_facet | Biljana Kurtović Krešimir Rotim Inga Mladić Batinica Milan Milošević Boris Božić Sonja Kalauz |
| author_sort | Biljana Kurtović |
| collection | DOAJ |
| description | Lumbar discectomy is the most common surgical treatment for intervertebral disc extrusion. Postoperative pain is a common clinical problem that greatly affects the length of hospitalization, functional status and patient quality of life. Th e aim of this study was to compare the postoperative analgesic effi cacy of paracetamol administered intermittently and through patient-controlled analgesia (PCA) pump following single level lumbar discectomy. Patients who underwent elective lumbar discectomy of intervertebral disc extrusion at the L4-L5 level diagnosed by magnetic resonance of the lumbosacral spine were included in the study. Pain was assessed at regular intervals for 48 hours through a shortened version of McGill pain questionnaire translated in the Croatian language. When pain was monitored as a summarized variable for each measurement, PCA group significantly stood up after 24 hours with better perception of pain compared to the intermittent group (c2-test, p<0.05). Adequate pain relief is an important aspect of postoperative care in spinal surgery patients. Postoperative use of paracetamol through PCA pump achieved better pain control and pain management versuspostoperative use of intermittent paracetamol analgesia after lumbar discectomy. |
| first_indexed | 2024-04-24T09:28:53Z |
| format | Article |
| id | doaj.art-771fe5e8aa8a4e3ca6bc8bce66f056bf |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:28:53Z |
| publishDate | 2017-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-771fe5e8aa8a4e3ca6bc8bce66f056bf2024-04-15T14:22:09ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512017-01-0156.2.23624310.20471/acc.2017.56.02.06Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical StudyBiljana Kurtović0Krešimir Rotim1Inga Mladić Batinica2Milan Milošević3Boris Božić4Sonja Kalauz5Clinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaClinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Uniniversity of Applied Health Sciences, Zagreb, CroatiaClinical Department of Anesthesiology, Intensive Care and Pain Therapy, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaUniversity of Zagreb, School of MedicineClinical Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaUniversity of Applied Health Sciences, Zagreb, CroatiaLumbar discectomy is the most common surgical treatment for intervertebral disc extrusion. Postoperative pain is a common clinical problem that greatly affects the length of hospitalization, functional status and patient quality of life. Th e aim of this study was to compare the postoperative analgesic effi cacy of paracetamol administered intermittently and through patient-controlled analgesia (PCA) pump following single level lumbar discectomy. Patients who underwent elective lumbar discectomy of intervertebral disc extrusion at the L4-L5 level diagnosed by magnetic resonance of the lumbosacral spine were included in the study. Pain was assessed at regular intervals for 48 hours through a shortened version of McGill pain questionnaire translated in the Croatian language. When pain was monitored as a summarized variable for each measurement, PCA group significantly stood up after 24 hours with better perception of pain compared to the intermittent group (c2-test, p<0.05). Adequate pain relief is an important aspect of postoperative care in spinal surgery patients. Postoperative use of paracetamol through PCA pump achieved better pain control and pain management versuspostoperative use of intermittent paracetamol analgesia after lumbar discectomy.https://hrcak.srce.hr/file/274934AcetaminophenPain, postoperative – drug therapyAnalgesics – therapeutic useDiscectomyCroatia |
| spellingShingle | Biljana Kurtović Krešimir Rotim Inga Mladić Batinica Milan Milošević Boris Božić Sonja Kalauz Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study Acta Clinica Croatica Acetaminophen Pain, postoperative – drug therapy Analgesics – therapeutic use Discectomy Croatia |
| title | Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study |
| title_full | Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study |
| title_fullStr | Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study |
| title_full_unstemmed | Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study |
| title_short | Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study |
| title_sort | analgesic effect comparison of paracetamol administered intermittently and through patient controlled analgesia pump after lumbar discectomy a prospective clinical study |
| topic | Acetaminophen Pain, postoperative – drug therapy Analgesics – therapeutic use Discectomy Croatia |
| url | https://hrcak.srce.hr/file/274934 |
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