Association between patient-controlled analgesia pump use and postoperative surgical site infection in intestinal surgery patients

Surgical Infections

Volumn 3, Issue 2, 2002, Pages 109-118

  Horn, Susan D ^a,f   Wright, Harold L ^b   Couperus, James J ^c   Rhodes, Robert S ^d   Smout, Randall J ^a   Roberts, Kevin A ^b   Linares, Antonio P ^e  

^a INSTITUTE FOR CLINICAL OUTCOMES RESEARCH   (United States)

^b Adventist Health CA Medical Found   (United States)

^c LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d UNIVERSITY OF PENNSYLVANIA   (United States)

^e Paradise Valley Hospital   (United States)

^f UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; CORTICOSTEROID; FENTANYL; HYDROMORPHONE; HYDROXYZINE; MORPHINE; NARCOTIC ANALGESIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; PETHIDINE; SUFENTANIL;

ABDOMINAL DISTENSION; ADULT; ANAMNESIS; ANTIBIOTIC PROPHYLAXIS; ARTICLE; BLOOD; BODY MASS; COMMUNITY HOSPITAL; CONTROLLED STUDY; CORTICOSTEROID THERAPY; DISEASE CLASSIFICATION; DISEASE SEVERITY; DRUG DELIVERY SYSTEM; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; HYPERTHERMIA; INTESTINE DISTENSION; INTESTINE SURGERY; LENGTH OF STAY; LUNG COMPLICATION; MAJOR CLINICAL STUDY; MALNUTRITION; OUTCOMES RESEARCH; PATIENT CONTROLLED ANALGESIA; PATIENT TRANSPORT; POSTOPERATIVE INFECTION; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PUMP; RANDOMIZATION; RETROSPECTIVE STUDY; SKIN INCISION; SURGICAL DRAINAGE; TEACHING HOSPITAL; UNITED STATES; URINARY TRACT INFECTION; URINE RETENTION; WOUND CLOSURE; ABDOMINAL SURGERY; CLINICAL TRIAL; IMMUNOLOGY; INFUSION PUMP; MULTICENTER STUDY; OUTCOME ASSESSMENT; RISK; SURGICAL INFECTION;

ADULT; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS, OPIOID; DIGESTIVE SYSTEM SURGICAL PROCEDURES; HUMANS; INFUSION PUMPS; OUTCOME ASSESSMENT (HEALTH CARE); RETROSPECTIVE STUDIES; RISK; SURGICAL WOUND INFECTION;

EID: 0036345372     PISSN: 10962964     EISSN: None     Source Type: Journal    
DOI: 10.1089/109629602760105772     Document Type: Article

References (35)

1. Standardized perioperative care protocols and reduced length of stay after colon surgery
2. Impact of patient-controlled analgesia on required nursing time and duration of postoperative recovery
3. Acute pain management: Operative or medical procedures and trauma
4. Deep venous thrombosis following total hip arthroplasty. Effects of prolonged postoperative epidural anesthesia
5. Epidural clonidine used as the sole analgesic agent during and after abdominal surgery. A dose-response study
6. Thoracic epidural analgesia compared with patient controlled intravenous morphine after upper abdominal surgery
7. Metabolic response to lower abdominal surgery: Analgesia by epidural blockade compared with intravenous opiate infusion
8. Does patient-controlled analgesia achieve better control of pain and fewer adverse effects than intramuscular analgesia? A prospective randomized trial
9. Patient-controlled analgesia (PCA) leads to more postoperative pain relief, but also more fatigue and less vigour
10. Transition to post-operative epidural or patient-controlled intravenous analgesia following total intravenous anaesthesia with remifentanil and propofol for abdominal surgery
11. Effectiveness, side effects and costs of postoperative pain therapy: Intravenous and epidural patient-controlled analgesia
12. Patient-controlled analgesia and intramuscular injections: A comparison of patient pain experiences and postoperative outcomes
13. Intravenous versus thoracic-epidural patient-controlled analgesia following extended abdominal or thoracic surgery
14. Clinical practice improvement methodology: Implementation and evaluation
15. Predicting in-hospital survival of myocardial infarction: A comparative study of various severity measures
16. A study of the relationship between severity of illness and hospital cost in New Jersey hospitals
17. The relationship between severity of illness and hospital length of stay and mortality
18. Risk adjustment for measuring health care outcomes
19. Measuring severity of illness: Six severity systems and their ability to explain cost variations
20. Association of malnutrition and clinical outcomes in abdominal surgery patients
21. CDC definitions of nosocomial surgical site infections, 1992: A modification of CDC definitions of surgical site infections
22. Prevalence of malnutrition in general medical patients
23. Evidence favoring the use of anticoagulants in the hospital phase of acute myocardial infarction
24. Bias in treatment assignment in controlled clinical trials
25. How study design affects outcomes in comparisons of therapy. I. Medical
26. How study design affects outcomes in comparisons of therapy. II Surgical
27. Randomized versus historical controls for clinical trials
28. A comparison of observational studies and randomized, controlled trials
29. Randomized, controlled trials, observational studies, and the hierarchy of research designs
30. Morphine inhibits spontaneous and cytokine-enhanced natural killer cell cytotoxicity in volunteers
31. Preoperative infiltration of bupivacaine-effects on pain relief and trauma response (cortisol and interleukin-6)
32. Prospective, randomized comparison of epidural versus parenteral opioid analgesia in thoracic trauma
33. Effect of anaesthesia on the cytokine responses to abdominal surgery
34. The biologic characteristics of cytokines and their implication in surgical injury
35. The inflammatory profile of interleukin-6, interleukin-8, and soluble intercellular adhesion molecule-1 in post-injury multiple organ failure