Analgesic Effect - Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study.
Lumbar discectomy is the most common surgical treatment for intervertebral disc extrusion. Postoperative pain is a common clinical problem that greatly affects the length of hospitalization, functional status and patient quality of life. Th e aim of this study was to compare the postoperative analgesic effi cacy of paracetamol administered intermittently and through patient-controlled analgesia (PCA) pump following single level lumbar discectomy. Patients who underwent elective lumbar discectomy of intervertebral disc extrusion at the L4-L5 level diagnosed by magnetic resonance of the lumbosacral spine were included in the study. Pain was assessed at regular intervals for 48 hours through a shortened version of McGill pain questionnaire translated in the Croatian language. When pain was monitored as a summarized variable for each measurement, PCA group significantly stood up after 24 hours with better perception of pain compared to the intermittent group (c2-test, p<0.05). Adequate pain relief is an important aspect of postoperative care in spinal surgery patients. Postoperative use of paracetamol through PCA pump achieved better pain control and pain management versuspostoperative use of intermittent paracetamol analgesia after lumbar discectomy.
['Kurtović|Biljana|B|', 'Rotim|Krešimir|K|', 'Mladić Batinica|Inga|I|', 'Milošević|Milan|M|', 'Božić|Boris|B|', 'Kalauz|Sonja|S|']
D000082:Acetaminophen D000293:Adolescent D000328:Adult D000368:Aged D000369:Aged, 80 and over D016058:Analgesia, Patient-Controlled D018712:Analgesics, Non-Narcotic D017586:Diskectomy D004334:Drug Administration Schedule D005260:Female D006801:Humans D007260:Infusion Pumps D055959:Intervertebral Disc Degeneration D007405:Intervertebral Disc Displacement D008159:Lumbar Vertebrae D008297:Male D008875:Middle Aged D010147:Pain Measurement D010149:Pain, Postoperative D011446:Prospective Studies D011788:Quality of Life D055815:Young Adult
Discectomy Acetaminophen Analgesics – therapeutic use Croatia Pain, postoperative – drug therapy