Patient‐controlled epidural analgesia versus continuous epidural analgesia after total knee arthroplasty

Abstract

The amount of bupivacaine-fentanyl solution consumed was significantly less with PCEA than with continuous infusion of bupivacaine-fentanyl solution without affecting the quality of postoperative analgesia after total knee arthroplasty. Several of the elderly patients had difficulties in operating the PCEA apparatus.

Postoperative urinary retention: evaluation of patients using opioids analgesic

“…Therefore, this fact can explain the occurrence of urinary retention and is comparable with data found in literature (3,(10)(11) .…”

“…Only two studies mention the performance of catheterization before urination, but use another methodology (10)(11) . In the present study, 71 (69%) …”

“…In international medical literature, reports of several studies affirm that the incidence of urinary retention can vary from 3 to 40% (2,(5)(6)(7)(8)(9)(10)(11) . In Brazil, there are few studies about the theme, especially involving orthopedic surgeries (3,(12)(13) .…”

Patient-controlled epidural analgesia reduces analgesic requirements compared to continuous epidural infusion after major abdominal surgery

“…Comparable results have already been shown by Silvasti et al in two different groups of patients with CEA or PCEA after spinal anesthesia for knee arthroplasty. 12 Our results may be limited by the fact that the same patients, who served as their own controls, received CEI on POD 1 and PCEA on POD 2. Theoretically, the decrease in epidural requirements may result from excellent or even excessive epidural analgesia on POD 1.…”

A procedure‐specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty

“…Lumbar epidural anaesthesia ⁄ analgesia vs spinal anaesthesia plus intravenous opioid [103] Epidural superior during ROM, inconclusive at rest Lumbar epidural analgesia vs continuous infusion femoral NB [34], vs SI combined femoral and sciatic NB [104], vs SI femoral NB [31] Inconclusive results [34], [104] NS [31] PCEA vs continuous infusion epidural analgesia [105] …”