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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Orthostatic intolerance ambulation in patients using patient controlled analgesia
Kwang Ok Park1, Yoon Young Lee
1Department of Nursing, Sunchon National University, Suncheon, Korea.
The Korean Journal of Pain
|July 18, 2013
Summary
Orthostatic intolerance (OI) affects more male patients receiving opioid-based patient-controlled analgesia after gastrectomy. Higher opioid doses significantly increase OI risk, impacting postoperative recovery.
Area of Science:
- Anesthesiology
- Postoperative Care
- Pain Management
Background:
- Opioid analgesics are standard for managing postoperative pain and aiding recovery.
- Opioid-induced orthostatic intolerance (OI) can impede recovery following surgery.
- Intravenous patient-controlled analgesia (IPCA) with opioids is a common method for pain management.
Purpose of the Study:
- To investigate factors influencing orthostatic intolerance (OI) in patients undergoing gastrectomy.
- To identify risks associated with opioid-containing IPCA in the postoperative period.
Main Methods:
- Orthostatic intolerance (OI) was assessed during the first ambulation in 175 patients post-gastrectomy.
- Patients receiving opioid-containing IPCA were evaluated for symptoms like dizziness, nausea, and syncope.
- Logistic regression analysis identified contributing factors to OI.
Main Results:
- The study found a higher incidence of OI in male patients (52.6%) compared to female patients (74.6%).
- Dizziness was the most frequent OI symptom (55.4%), followed by nausea (26.3%).
- Significant risk factors for OI included gender (P=0.002) and the total opioid dose administered (P=0.033).
Conclusions:
- Orthostatic intolerance (OI) is more prevalent in male patients receiving opioid IPCA.
- The total dosage of opioids administered is a significant factor influencing the occurrence of OI.
- Managing OI is crucial for optimizing postoperative recovery in patients receiving IPCA.
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