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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Main Author: Byung Moon Choi
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2016-06-01
Series:Korean Journal of Anesthesiology
Subjects:
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.
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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
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