Comparison Study on Effect of Intramuscular Petidin Injection Against Intra Venues Patient Control Analgesia (PCA) after Elective Cesarean Section

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

2 Medical Student, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

3 MSc Student in Midwifery, Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

4 Anesthesiologist, Isfahan, Iran.

Abstract

Background: Cesarean is one of the most common surgeries. Pain is on of it`s side effect which bothers mothers.Opioids are the most common pain relief which used as Intra muscular, Intra venues, sub cotaneous or new methods such as patient control analgesia (PCA). As it is new method, research decided to compare efficacy of these 2 methods.Methods: This is a prospective clinical trial study which has done on primi parous with full term, single pregnancy who were candidate for elective cesarean in Sepahan shahr hospital of Isfahan in year 2010. Excluding criteria was using another drugs, essential disease, not to permit, dizziness, coma. Number of cases was 44 in each group which had been selected simple. In recovery and surgery ward patients were evaluated about vital signs- drugs side effects in 1, 2, 4, 8, 12 hours after surgery. Pain score evaluated by visual analog scale (VAS) by patients. Satisfaction of pain relief asked from patients.Finding: Petidin was significantly more effective for pain relief than PCA in1, 8, 12 hours after surgery (P < 0.05). Mean of pain was less in 2,4hours after surgery in Petidin Im group than PCA but not meaningful. Total Petidin was more effective than PCA for pain relief (P < 0.02).Conclusion: This study showed although PCA is new method for pain relief but it is doesn't have efficacy such as old methods such as Intra muscular petidine. Also patient`s satisfaction was less in PCA method .It may because of expensive and it`s side effect such as nausea and vomiting.

Keywords

References

  1. Ganji F, Raeisi R, Khosravi ShA, Soltani P, Kasiri KA, Jafar Zadeh L, et al. Effect of a participa-tory intervention to reduce the number of un-necessary cesarean sections performed in Shahrekord, Iran. Shahrekord University of Medical Sciences Journal 2006; 8(3): 14-8.[Persian].
  2. Rafieeyan Z, Azarbarzin M, Safaryfard S. The effect of music therapy on anxiety, pain, nausea and vital signs of caesarean section clients in Dr. Shariatee hospital of Esfahan in 2006. Medical Science Journal of Islamic Azad University, Teh-ran Medical Unite 2009; 19(1): 80-5. [Persian].
  3. Lalouei A, Kashanizadeh N, Naser-Islami M, eymouri M. Local anesthetic effect of bupiva-caine in pain relieving after cesarean section. Shahrekord University of Medical Sciences Journal 2009; 11(2):25-30. [Persian].
  4. Birnbach DA, Browne IN. Anesthesia for obstet-ric. Miller's Anesthesia. Edinburgh: Churchill Liv-ingstone: 2009.
  5. Gadsden J, Hart S, Santos AC. Post-cesarean delivery analgesia Anesth Analg 2005; 101(5 Suppl): S62-9.
  6. Grant G, Hepner D, Bass VA: Post operative analgesia. 2009. Uptodate. Available from: URL: http://utdol.com/online/content/search.do.Accessed Sep 22, 2009.
  7. Kodali BS, Oberoi JS. Management of postoper-ative pain. 2010 Sept.20 Available from: URL: http://utdol.com/online/content/search.do.
  8. Schumacher M, Basbaum AL, Way WA. Opioid analgesics and antagonists. Basic and clinical pharmacology. Lange Medical Books, 2003: 511-28.
  9. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D. Williams Obstetrics (Repost). 23th ed. New York: McGraw-Hill Professional, 2009.
  10. Mordin M, Anastassopoulos K, van Breda A, Vallow S, Zhang M, Gargiulo K, et al. Clinical staff resource use with intravenous patient-controlled analgesia in acute postoperative pain management: results from a multicenter, pro-spective, observational study J Perianesth Nurs 2007; 22(4): 243-55.
  11. Grass JA. Patient-Controlled Analgesia. Anesth Analg 2005; 101: S44-61.
  12. Trikoupi AP, Vassilakos D, Soultani I, Andreo-poulos K, Matsi K, Metaxa V. Patient conetrolled analgesic versus continous epidural analgesia and intramuscular injections. Treat-ment approaches 2008; 9: 197.
  13. Yost NP, Bloom SL, Sibley MK, Lo JY, McIntire DD, Leveno KJ. A hospital-sponsored quality improvement study of pain management after cesarean delivery Am J Obstet Gynecol 2004; 190(5): 1341-6.
  14. Rayburn WF, Geranis BJ, Ramadei CA, Woods RE, Patil KD. Patient-controlled analgesia for post-cesarean section pain Obstet Gynecol 1988; 72(1): 136-9.
  15. Bayar U, Basaran M, Atasoy N, Ayoglu H, Sade H, Altunkaya H. Comparison of satisfaction and pain relief between patients-controlled anal-gesia and interval analgesia after laparoscopic ovarian cystectomy J Psychosom Obstet Gynae-col 2008; 29(2): 139-45.
  16. Lehmann KA. Recent developments in patient-controlled analgesia J Pain Symptom Manage 2005; 29(5 Suppl):S72-89.
  17. Pan PH. Post cesarean delivery pain manage-ment: multimodal approach Int J Obstet Anesth 2006; 15(3): 185-8.
Journal of Isfahan Medical School
Volume 29, Issue 130 - Serial Number 130
January and February 2011
Pages 215-221

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History

  • Receive Date: 26 February 2011
  • Revise Date: 30 April 2024
  • Accept Date: 06 April 2022

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