Open Gastrectomy With Gastric Cancer Clinical Trial
Official title:
Comparison of Analgesic Effects According to Patient-controlled Epidural Analgesia Modes in Patients Undergoing Open Gastrectomy: a Randomized Controlled Trial
Epidural PCA (patient controlled analgesia) for post-operative pain management are effective
analgesic method. It is widely used in the postoperative pain management for decades.
PCA pumps typically set a fixed basal infusion rate to infuse the analgesics at a constant
rate per every hour (conventional mode). In contrast, the newly developed computer-integrated
patient-controlled analgesia (CIPCA) mode increases or decreases the basal infusion rate with
the use of the patient's bolus button. The CIPCA mode sets the basal infusion rate, the
increase / decrease rate of basal rate, and the increment / decrement interval. If the
patient presses the bolus button within the set time interval, the set infusion rate is
increased because the analgesic is more required. If the bolus button is not pressed during
the set time interval, the infusion rate is decreased. Therefore, it can be said that it is
an effective method to control the dose of analgesic agent more sensitively to changes in
patient's needs and pain.
n/a