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A comparison between fentanyl plus celecoxib therapy and epidural anesthesia for postoperative pain management following laparoscopic gastrectomy

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タイトル: A comparison between fentanyl plus celecoxib therapy and epidural anesthesia for postoperative pain management following laparoscopic gastrectomy
その他のタイトル: Pain control by fentanyl and celecoxib
著者: Shibasaki, Susumu 著作を一覧する
Kawamura, Hideki 著作を一覧する
Homma, Shigenori 著作を一覧する
Yosida, Tadashi 著作を一覧する
Takahashi, Shusaku 著作を一覧する
Takahashi, Masahiro 著作を一覧する
Takahashi, Norihiko 著作を一覧する
Taketomi, Akinobu 著作を一覧する
キーワード: Laparoscopic gastrectomy
Postoperative pain
Epidural anesthesia
Celecoxib
Fentanyl
発行日: 2016年10月
出版者: Springer
誌名: Surgery today
巻: 46
号: 10
開始ページ: 1209
終了ページ: 1216
出版社 DOI: 10.1007/s00595-015-1290-4
抄録: Purpose: To clarify the efficacy of postoperative pain management following laparoscopic gastrectomy (LG), we retrospectively compared pain assessments in patients who received fentanyl plus celecoxib with those who received epidural anesthesia. Methods: From 2011 to 2012, 55 consecutive LG patients at our institution received 48 h of epidural anesthesia for postoperative pain management (group-E). Since September 2013, epidural anesthesia was replaced with 24 h of intravenous fentanyl and 4 days of oral celecoxib. Thirty-three consecutive LG patients who received this analgesic method (group-FC) were included in this analysis. The severity of postoperative pain as assessed by the FACES Pain Rating Scale and the frequency of rescue pain medication were retrospectively compared between the two groups. Results: No significant difference in the severity of postoperative pain on postoperative day (POD) 0 or 1 was observed between the two groups. In contrast, pain was significantly lower in group-FC than group-E on PODs 2, 3, 4, and 7. The total use of rescue pain medications during the first 7 days following LG did not differ between the two groups. Conclusion: Pain management using 24 h of intravenous fentanyl and 4 days of oral celecoxib is comparable to epidural anesthesia following LG.
Rights: The final publication is available at Springer via http://dx.doi.org/10.1007/s00595-015-1290-4
資料タイプ: article (author version)
URI: http://hdl.handle.net/2115/67231
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 川村 秀樹

 

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