A new therapeutic option for postoperative pain management with oxycodone HCI injection
Fentanyl is the most commonly used opioid analgesic in intravenous patient-controlled analgesia (IV PCA) in Korea. IV oxycodone was approved for postoperative IV PCA by the Ministry of Food and Drug Safety of Korea in 2013. The approved dosage regimen for postoperative pain relief with IV oxycodone...
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Format: | Article |
Language: | English |
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Korean Society of Anesthesiologists
2016-06-01
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Series: | Korean Journal of Anesthesiology |
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Online Access: | http://ekja.org/upload/pdf/kjae-69-211.pdf |
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author | Byung Moon Choi |
author_facet | Byung Moon Choi |
author_sort | Byung Moon Choi |
collection | DOAJ |
description | Fentanyl is the most commonly used opioid analgesic in intravenous patient-controlled analgesia (IV PCA) in Korea. IV oxycodone was approved for postoperative IV PCA by the Ministry of Food and Drug Safety of Korea in 2013. The approved dosage regimen for postoperative pain relief with IV oxycodone is IV bolus loading of 2 mg followed by PCA composed of demand boluses of 1 mg and no background infusion with an oxycodone concentration of 1 mg/ml. However, a simulation study indicated that the minimum effective analgesic concentration (MEAC, as indicated by relief of pain by administering rescue analgesics) of oxycodone was reached most quickly with a higher loading dose of 0.1 mg/kg and IV PCA with background infusion. Oxycodone is a therapeutic option as an analgesic for postoperative pain management. It is necessary to reduce the analgesic dose of oxycodone in elderly patients because metabolic clearance decreases with age. |
first_indexed | 2024-04-13T05:59:03Z |
format | Article |
id | doaj.art-e74ad4127c334063ad51f2717040600b |
institution | Directory Open Access Journal |
issn | 2005-6419 2005-7563 |
language | English |
last_indexed | 2024-04-13T05:59:03Z |
publishDate | 2016-06-01 |
publisher | Korean Society of Anesthesiologists |
record_format | Article |
series | Korean Journal of Anesthesiology |
spelling | doaj.art-e74ad4127c334063ad51f2717040600b2022-12-22T02:59:31ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632016-06-0169321121810.4097/kjae.2016.69.3.2118170A new therapeutic option for postoperative pain management with oxycodone HCI injectionByung Moon Choi0Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Fentanyl is the most commonly used opioid analgesic in intravenous patient-controlled analgesia (IV PCA) in Korea. IV oxycodone was approved for postoperative IV PCA by the Ministry of Food and Drug Safety of Korea in 2013. The approved dosage regimen for postoperative pain relief with IV oxycodone is IV bolus loading of 2 mg followed by PCA composed of demand boluses of 1 mg and no background infusion with an oxycodone concentration of 1 mg/ml. However, a simulation study indicated that the minimum effective analgesic concentration (MEAC, as indicated by relief of pain by administering rescue analgesics) of oxycodone was reached most quickly with a higher loading dose of 0.1 mg/kg and IV PCA with background infusion. Oxycodone is a therapeutic option as an analgesic for postoperative pain management. It is necessary to reduce the analgesic dose of oxycodone in elderly patients because metabolic clearance decreases with age.http://ekja.org/upload/pdf/kjae-69-211.pdfpatient-controlled analgesiapostoperative pain |
spellingShingle | Byung Moon Choi A new therapeutic option for postoperative pain management with oxycodone HCI injection Korean Journal of Anesthesiology patient-controlled analgesia postoperative pain |
title | A new therapeutic option for postoperative pain management with oxycodone HCI injection |
title_full | A new therapeutic option for postoperative pain management with oxycodone HCI injection |
title_fullStr | A new therapeutic option for postoperative pain management with oxycodone HCI injection |
title_full_unstemmed | A new therapeutic option for postoperative pain management with oxycodone HCI injection |
title_short | A new therapeutic option for postoperative pain management with oxycodone HCI injection |
title_sort | new therapeutic option for postoperative pain management with oxycodone hci injection |
topic | patient-controlled analgesia postoperative pain |
url | http://ekja.org/upload/pdf/kjae-69-211.pdf |
work_keys_str_mv | AT byungmoonchoi anewtherapeuticoptionforpostoperativepainmanagementwithoxycodonehciinjection AT byungmoonchoi newtherapeuticoptionforpostoperativepainmanagementwithoxycodonehciinjection |