Efficacy and safety of patient-controlled analgesia for morbidly obese patients following gastric bypass surgery

Obesity Surgery

Volumn 10, Issue 2, 2000, Pages 154-159

  Choi, Young K ^a   Brolin, Robert E ^a   Wagner, Bertil K J ^a   Chou, Stanley ^a   Etesham, Soheil ^a   Pollak, Phyllis ^a  

^a ROBERT WOOD JOHNSON MEDICAL SCHOOL   (United States)

Author keywords

Acute pain; Gastric bypass surgery; Morbid obesity; Pain management; Patient controlled analgesia

Indexed keywords

MORPHINE;

ADULT; ANESTHESIA COMPLICATION; ARTICLE; CLINICAL ARTICLE; FEMALE; HUMAN; MALE; OBESITY; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; PRIORITY JOURNAL; STOMACH BYPASS;

ADULT; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS, OPIOID; DOSE-RESPONSE RELATIONSHIP, DRUG; FEMALE; FOLLOW-UP STUDIES; GASTRIC BYPASS; HUMANS; MALE; MIDDLE AGED; MORPHINE; OBESITY, MORBID; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; TREATMENT OUTCOME;

EID: 0034040704     PISSN: 09608923     EISSN: None     Source Type: Journal    
DOI: 10.1381/096089200321668703     Document Type: Article

References (34)

1. 1. Vaughan RW, Engelhardt RC, Wise L. Postoperative hypoxemia in obese patients. Ann Surg 1974; 180:877-82.
2. 2. Vaughan RW, Conahan TJ. Cardiopulmonary consequences of morbid obesity. Life Sci 1980; 26:2119-27.
3. 3. Drenick EJ, Bale GS, Seltzer F et al. Excessive mortality and causes of death in morbidly obese men. JAMA 1980; 243:443-5.
4. 4. Bennett R, Batenhorst R, Graves DA et al. Variation in postoperative analgesic requirements in the morbidly obese following gastric bypass surgery. Pharmacotherapy 1982; 2:50-3.
5. 5. Graves DA, Foster TS, Batenhorst RL et al. Patient-controlled analgesia. Ann Int Med 1983; 99:360-6.
6. 6. Tamsen A, Hartvig P, Fagerfund C et al. Patient-controlled analgesia therapy II. Individual analgesic demand and analgesic plasma concentrations of pethidine in postoperative pain. Clin Pharmacokinet 1982; 7:164-75.
7. 7. Sechzer PH. Patient-controlled analgesia (PCA). A retrospective. Anesthesiology 1990; 72:735-6.
8. 8. West DD. The role of patient-controlled analgesia in postoperative pain management. Phys Assist 1990; 12:21-3.
9. 9. Smythe M. Patient-controlled analgesia: A review. Pharmacotherapy 1992; 12:132-43.
10. 10. Graves DA, Batenhorst RL, Bennett, RL et al. Morphine requirements using patient-controlled analgesia: Influence of diumal variation and morbid obesity. Clin Pham 1983; 2:49-53.
11. 11. Buckley FP. Anesthesia and obesity and gastrointestinal disorders. In: Barash PG, Cullen BF, Stoelting RK, eds. Clinical Anesthesia. Philadelphia: JB Lippincott Co 1989:1117-31.
12. 12. National Institutes of Health Consensus Development Panel: Gastrointestinal surgery for severe obesity. Am J Clin Nutr 1992; 55(suppl):615-9.
13. 13. Chernow B, Alexander HR, Smallridge RC et al. Hormonal responses to graded surgical stress. Arch Int Med 1987; 147;1273-8.
14. 14. Cousins MJ. Acute pain and the injury response: Immediate and prolonged effects. Reg Anesth 1989; 14:162-79.
15. 15. Sinatra RS. Pathophysiology of acute pain. In: Sinatra RS, Hord AH, Ginsberg B et al, eds. Acute Pain: Mechanisms and Management. St. Louis:Mosby Year Book. 1992:44-57.
16. 16. Marks RM, Sachar EJ. Undertreatment of medical inpatients with narcotic analgesics. Ann Intern Med 1973; 78:175-81.
17. 17. U.S. Department of Health and Human Services. (Public Health Services) Management of Cancer Pain: Adults. Quick Reference Guide for Clinicians. Maryland: AHCPR Pub. No.94-0593, 1994;9:2.
18. 18. Sechzer PH. Studies in pain with the analgesic-demand system. Anesth Analg 1971; 50:1-10.
19. 19. Forrest WH, Smethurst PWR, Kienitz ME. Self-administration of intravenous analgesics. Anesthesiology 1970; 33:363-5.
20. 20. Catley DM, Thoynton C, Jordan C et al. Pronounced, episodic oxygen desaturation in the postoperative period: Its association with ventilatory pattern and analgesic regimen. Anesthesiology 1985; 63:20-8.
21. 21. Vaughan RW, Maccioli GA. Perioperative analgesia in obese patients. Prob Anesth 1988; 2:449-53.
22. 22. VanDercar DH, Martinez AP, DeLisser EA. Sleep apnea syndromes: a potential contraindication for patient-controlled analgesia. Anesthesiology 1991; 74:623-4.
23. 23. Levin A, Klein SL, Brolin RE et al. Patient-controlled analgesia for morbidly obese patients: An effective modality if used correctly. Anesthesiology 1992; 76:857-8.
24. 24. Wolff T. Samuelsson H, Hedner T. Concentrations of morphine and morphine metabolites in CSF and plasma during continuous subcutaneous morphine administration in cancer patients. Pain 1996; 68:209-16.
25. 25. Gourlay GK, Kowalski SR, Plummer JL et al. Fentanyl blood concentrations-analgesic response relationship in the treatment of postoperative pain. Anesth Analg 1988; 67:329-37.
26. 26. Owen H, Brose WG, Plummer JL et al. Variables of patient-controlled analgesia. 3: test of an infusion-demand system using alfentanil. Anaesthesia 1990; 45:452-5.
27. 27. Samuelsson H, Nordberg G, Hedner T et al. CSF and plasma morphine concentrations in cancer patients during chronic epidural morphine therapy and its relation to pain relief. Pain 1987; 30:303-10.
28. 28. Mies RJ, van der Aa JJ, Dixon CL et al. Computer-modulated patient-controlled analgesia. Preliminary evaluation of a prototype. Reg Anesth 1994;19:270-6.
29. 29. Hill H, Mackie A, Coda B et al. Evaluation of the accuracy of a pharmacokinetically-based patient-controlled analgesia system. Eur J Clin Pharmacol 1992;43:67-75.
30. 30. Tusek DL, Church JM, Strong SA et al. Guided imagery: a significant advance in the care of patients undergoing elective colorectal surgery. Dis Colon Rectum 1997;40:172-178.
31. 31. Perry F, Parker RK, White PF et al. Role of psychological factors in postoperative pain control and recovery with patient-controlled analgesia. Clin J Pain 1994; 10:57-63.
32. 32. Sinatra RS, Lodge K, Sibert K et al. A comparison of morphine, meperidine, and oxymorphine as utilized in patient-controlled analgesia following cesarean delivery. Anesthesiology 1989;70:585-590.
33. 33. White PF. Patient-controlled analgesia: A new approach to the management of postoperative pain. Semin Anesth 1985;4:255-266.
34. 34. Rao MK, Balcueva EP, Thiem C, et al. Evaluation of demand analgesia in a community hospital. Resid Staff Physician 1986;32:26-37.