Ahmed Aliya, Abbasi Shemila, Prakash Chandar, Chandar Subhash
Department of Anaesthesia, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2007 Jun;57(6):318-9.
Our objective was to determine the trends of providing intraoperative analgesia for day-care surgery among the various anaesthesiologists at our university hospital. All patients having surgical procedures under general anaesthesia in the Surgical Day Care Unit (SDC) of the Hospital were included. The study was done over two months and 142 patients were enrolled during the study period. Of these 45% received pethidine for intraoperative analgesia, 24% pethidine and ketorolac, 6% pethidine and paracetamol suppositories, 18% received fentanyl, 2% tramadol and 5% received other analgesic combinations. Of the 22% patients who received pethidine intraoperatively needed rescue analgesia in recovery room, while 12% of those receiving a combination of pethidine and ketorolac needed rescue analgesia. Pethidine was found to be the most commonly used analgesic agent while a combination of pethidine and ketorolac was found to provide a superior quality of analgesia with a lesser need of additional analgesia.
我们的目的是确定我校医院不同麻醉医生为日间手术提供术中镇痛的趋势。纳入了在医院外科日间护理单元（SDC）接受全身麻醉下手术的所有患者。该研究进行了两个月，研究期间共纳入142例患者。其中，45%的患者术中接受哌替啶镇痛，24%接受哌替啶和酮咯酸，6%接受哌替啶和对乙酰氨基酚栓剂，18%接受芬太尼，2%接受曲马多，5%接受其他镇痛组合。术中接受哌替啶的患者中有22%在恢复室需要急救镇痛，而接受哌替啶和酮咯酸联合用药的患者中有12%需要急救镇痛。结果发现哌替啶是最常用的镇痛剂，而哌替啶和酮咯酸联合使用能提供更高质量的镇痛效果，且额外镇痛的需求较少。
