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

Shibasaki, Susumu; Kawamura, Hideki; Homma, Shigenori; Yosida, Tadashi; Takahashi, Shusaku; Takahashi, Masahiro; Takahashi, Norihiko; Taketomi, Akinobu

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

Shibasaki, Susumu; Kawamura, Hideki; Homma, Shigenori et al.

Surgery today, 2016, 46(10), 1209-1216

Permalink : https://hdl.handle.net/2115/67231

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アクセス権	open access
URI	https://hdl.handle.net/2115/67231
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 ; Kawamura, Hideki ; Homma, Shigenori ; Yosida, Tadashi ; Takahashi, Shusaku ; Takahashi, Masahiro ; Takahashi, Norihiko ; Taketomi, Akinobu
著者名 Shibasaki, Susumu
e-Rad_Researcher 70645960 著者名 Kawamura, Hideki
e-Rad_Researcher 30533674 著者名 Homma, Shigenori
著者名 Yosida, Tadashi
著者名 Takahashi, Shusaku
著者名 Takahashi, Masahiro
著者名 Takahashi, Norihiko
e-Rad_Researcher 70363364 著者名 Taketomi, Akinobu
言語	英語
キーワード	Laparoscopic gastrectomy
	Postoperative pain
	Epidural anesthesia
	Celecoxib
	Fentanyl
発行日	2016-10
出版者	Springer
収録物名	Surgery today
巻(号)	46(10)
ページ	1209-1216
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.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	The final publication is available at Springer via http://dx.doi.org/10.1007/s00595-015-1290-4
PISSN	0941-1291
関連情報	PMID 26695406
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s00595-015-1290-4