Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A CLINICAL STUDY ON THE EFFECTIVENESS OF PATIENT-CONTROLLED ANALGESIA(PCA) AFTER ORTHOGNATHIC SURGERY.

악교정 수술후 자가통증조절장치(Patient-Controlled Analgesia)의 사용 효과에 관한 연구

  • Yang, Byung-Eun (Dept. of Oral & Maxillofacial Surgery, Kangnam General Hospital, Public Corp.) ;
  • Song, Sang-Hun (Dept. of Oral & Maxillofacial Surgery, Kangnam General Hospital, Public Corp.) ;
  • Um, Ki-Hun (Dept. of Oral & Maxillofacial Surgery, Kangnam General Hospital, Public Corp.) ;
  • You, Jun-Young (Dept. of Oral & Maxillofacial Surgery, Kangnam General Hospital, Public Corp.)
  • 양병은 (지방공사 강남병원 구강악안면외과) ;
  • 송상훈 (지방공사 강남병원 구강악안면외과) ;
  • 엄기훈 (지방공사 강남병원 구강악안면외과) ;
  • 유준영 (지방공사 강남병원 구강악안면외과)
  • Published : 1999.12.31
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Abstract

The concept of PCA(Patient Controlled Analgesia) was first described in 1968, by Sechzer. The earliest descriptions of actual self-administered PCA machines were by Forrest et al. In gastric bypass surgery, cesarian section, orthopedic surgery etc, PCA is widely used in the control of postoperative pain. Previous Studies have shown that PCA provides effective pain-control for the postoperative patient. The postoperative pain-control is a problem that should be solved in surgery. Especially in orthognathic surgery, it is not same as in the case of maxillofacial trauma surgery or of tumor surgery: most orthognathic surgery patients are under operation not accustomed to pains, and difficulties in pain-complaint due to IMF(Intermaxillary fixation), postoperative nausea, and vomiting are additional problem. In this study, we have compared PCA and IM analgesics with respect not only to time request but also to the quality of postoperative pain control.

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