Pain control after cesarean birth. Efficacy of patient-controlled analgesia vs traditional therapy (IM morphine).

R. Perez-Woods, J. C. Grohar, M. Skaredoff, S. G. Rock, A. M. Tse, P. Tomich, S. Polich

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A clinical trial compared the efficacy of a mechanical device to deliver patient-controlled analgesia (PCA) (n = 25) with intramuscularly administered morphine (n = 17) for postcesarean pain management. Hypotheses were: (1) patient-controlled administration of narcotics will be superior (increased satisfaction, reduced pain, decreased sedation, increased ambulation, decreased length of stay), and (2) functional vital capacity will increase post-operatively with PCA. No differences in demographic variables were identified (P = less than or equal to .001). Differences in satisfaction (greater in PCA group, P = less than or equal to .05), ambulation (greater in PCA group, P = less than or equal to .001), amount of medication used (greater in PCA group, P = less than or equal to .001), and sedation level (less in PCA group, P = less than or equal to .05) were identified. No differences in vital capacity were identified. The hypothesis related to the superiority of PCA was accepted, while the association between PCA and increased vital capacity was not supported. The use of mechanical PCA devices provides an effective and safe means of managing postcesarean pain.

Original languageEnglish (US)
Pages (from-to)174-181
Number of pages8
JournalJournal of perinatology : official journal of the California Perinatal Association
Volume11
Issue number2
StatePublished - Jun 1 1991

Fingerprint

Patient-Controlled Analgesia
Morphine
Parturition
Pain
Vital Capacity
Therapeutics
Walking
Equipment and Supplies
Narcotics
Pain Management
Length of Stay
Demography
Clinical Trials

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Pain control after cesarean birth. Efficacy of patient-controlled analgesia vs traditional therapy (IM morphine). / Perez-Woods, R.; Grohar, J. C.; Skaredoff, M.; Rock, S. G.; Tse, A. M.; Tomich, P.; Polich, S.

In: Journal of perinatology : official journal of the California Perinatal Association, Vol. 11, No. 2, 01.06.1991, p. 174-181.

Research output: Contribution to journalArticle

@article{9a6eb2ef4f96438ab155de39f22bbfde,
title = "Pain control after cesarean birth. Efficacy of patient-controlled analgesia vs traditional therapy (IM morphine).",
abstract = "A clinical trial compared the efficacy of a mechanical device to deliver patient-controlled analgesia (PCA) (n = 25) with intramuscularly administered morphine (n = 17) for postcesarean pain management. Hypotheses were: (1) patient-controlled administration of narcotics will be superior (increased satisfaction, reduced pain, decreased sedation, increased ambulation, decreased length of stay), and (2) functional vital capacity will increase post-operatively with PCA. No differences in demographic variables were identified (P = less than or equal to .001). Differences in satisfaction (greater in PCA group, P = less than or equal to .05), ambulation (greater in PCA group, P = less than or equal to .001), amount of medication used (greater in PCA group, P = less than or equal to .001), and sedation level (less in PCA group, P = less than or equal to .05) were identified. No differences in vital capacity were identified. The hypothesis related to the superiority of PCA was accepted, while the association between PCA and increased vital capacity was not supported. The use of mechanical PCA devices provides an effective and safe means of managing postcesarean pain.",
author = "R. Perez-Woods and Grohar, {J. C.} and M. Skaredoff and Rock, {S. G.} and Tse, {A. M.} and P. Tomich and S. Polich",
year = "1991",
month = "6",
day = "1",
language = "English (US)",
volume = "11",
pages = "174--181",
journal = "Journal of Perinatology",
issn = "0743-8346",
publisher = "Nature Publishing Group",
number = "2",

}

TY - JOUR

T1 - Pain control after cesarean birth. Efficacy of patient-controlled analgesia vs traditional therapy (IM morphine).

AU - Perez-Woods, R.

AU - Grohar, J. C.

AU - Skaredoff, M.

AU - Rock, S. G.

AU - Tse, A. M.

AU - Tomich, P.

AU - Polich, S.

PY - 1991/6/1

Y1 - 1991/6/1

N2 - A clinical trial compared the efficacy of a mechanical device to deliver patient-controlled analgesia (PCA) (n = 25) with intramuscularly administered morphine (n = 17) for postcesarean pain management. Hypotheses were: (1) patient-controlled administration of narcotics will be superior (increased satisfaction, reduced pain, decreased sedation, increased ambulation, decreased length of stay), and (2) functional vital capacity will increase post-operatively with PCA. No differences in demographic variables were identified (P = less than or equal to .001). Differences in satisfaction (greater in PCA group, P = less than or equal to .05), ambulation (greater in PCA group, P = less than or equal to .001), amount of medication used (greater in PCA group, P = less than or equal to .001), and sedation level (less in PCA group, P = less than or equal to .05) were identified. No differences in vital capacity were identified. The hypothesis related to the superiority of PCA was accepted, while the association between PCA and increased vital capacity was not supported. The use of mechanical PCA devices provides an effective and safe means of managing postcesarean pain.

AB - A clinical trial compared the efficacy of a mechanical device to deliver patient-controlled analgesia (PCA) (n = 25) with intramuscularly administered morphine (n = 17) for postcesarean pain management. Hypotheses were: (1) patient-controlled administration of narcotics will be superior (increased satisfaction, reduced pain, decreased sedation, increased ambulation, decreased length of stay), and (2) functional vital capacity will increase post-operatively with PCA. No differences in demographic variables were identified (P = less than or equal to .001). Differences in satisfaction (greater in PCA group, P = less than or equal to .05), ambulation (greater in PCA group, P = less than or equal to .001), amount of medication used (greater in PCA group, P = less than or equal to .001), and sedation level (less in PCA group, P = less than or equal to .05) were identified. No differences in vital capacity were identified. The hypothesis related to the superiority of PCA was accepted, while the association between PCA and increased vital capacity was not supported. The use of mechanical PCA devices provides an effective and safe means of managing postcesarean pain.

UR - http://www.scopus.com/inward/record.url?scp=0026181086&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026181086&partnerID=8YFLogxK

M3 - Article

C2 - 1890479

AN - SCOPUS:0026181086

VL - 11

SP - 174

EP - 181

JO - Journal of Perinatology

JF - Journal of Perinatology

SN - 0743-8346

IS - 2

ER -