Naslov
Prospective randomized appraisal of the best pain relief option after L4/L5 discectomy

Autori
Sajko, Tomislav ; Rotim, KreŠimir ; Kurtović, Biljana ; Rotim, Cecilija ; Rotim, Ante

Izvornik
Neurological research (0161-6412) 1 (2020); 1-7

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Pain management ; discectomy ; intermittent analgesia ; patient controlled analgesia ; postoperative pain

Sažetak
Objectives: To determine the efficacy of paracetamol and tramadol analgesia via patient controlled pump and intermittent administration using the Short-Form McGill Pain Questionnaire after L4/L5 discectomy in neurosurgical patients. Methods: Fourteen months prospective quantitative study with 200 neurosurgical patients' participation who underwent elective discectomy of the L4/L5 intervertebral disc extrusion. The study was conducted due to a patient-controlled analgesia pump and intermittent analgesia application. Pain was assessed using the Short- Form McGill Pain Questionnaire in the Croatian language during the zero, first, and second postoperative day. Results: Perception of pain was reduced in patient controlled analgesia pump groups after the second measurement during the first postoperative day [95% CI: -3.89, -0.76], regardless of administered analgesic (p< 0.001). After the final measurement, at 7 PM on the second postoperative day, the differences were not significant (p= 0.070). This study results are registered and allocated in the Australian New Zealand Clinical Trials Registry (ANZCTR). Discussion: Analgesia administration via patient- controlled pump contributes to the alleviation of postoperative pain after L4/L5 disc extrusion surgery regardless of administered analgesic.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA