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Submitted: 26 January 2017 Modified: 26 January 2017
HERDIN Record #: NCR-PHC-1701261505514

A comparison of Patient-Controlled Analgesia (PCA) with Nurse-Administered Analgesia (NAA) in post-operative pain control among open heart surgery patients at the Philippine Heart Center.

Veronica Durante

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Background. Intravenous Patient Controlled Analgesia (PCA) was compared to a round the clock Nurse Administered intravenous Analgesia regimen (NAA) to determine if the PCA was advantageous in terms of pain scores and satisfaction ratings among post cardiac surgery patients.


Methods. Eighty patients, 22 to 76 years of age, undergoing cardiac surgery under sternotomy approach were randomly assigned to receive Tramadol HCI either by PCA or by NAA for 24-hours after admission to the recovery room. Minimum and maximum doses were standardized. Pain intensity was tested four times a day and satisfaction ratings were obtained on the 24th hour after admission to the recovery room.


Results. There was no difference in pain scores obtained between both groups (p > 0.05) in spite of greater analgesic usage by the PCA group (p = 0.000). Satisfaction ratings were higher among the PCA group. (p = 0.000)


Conclusions. In using Tramadol HCI at 150 to 300mg per day, PCA and NAA methods are equally effective in treating post cardiac surgery pain. However, patients are Significantly more satisfied with using the PCA pump.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Heart Center Journal
Frequency
Semi-Annual
Publication Date
January-December 2014
Volume
18
Page(s)
75-79
LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library Fulltext Print Format