ĐÁNH GIÁ HIỆU QUẢ GIẢM ĐAU SAU PHẪU THUẬT LỒNG NGỰC CỦA PHƯƠNG PHÁP TỰ ĐIỀU KHIỂN (PCEA) SO VỚI TRUYỀN LIÊN TỤC (CEI) QUA CATHETER NGOÀI MÀNG CỨNG

Abstract

In thoracic surgery, postoperative pain will reduce the patient's motor function, adversely affect lung function, increase the rate of postoperative complications, and potentially chronic pain syndrome after surgery. Thoracic epidural analgesia is often considered the gold standard for pain management after thoracic surgery. We conducted a study to evaluate the effectiveness of pain relief after thoracic surgery of the Patient Controlled Epidural Analgesia (PCEA) method compared with the Continuous Epidural Infusion (CEI) through the epidural catheter with a mixture of bupivacaine and fentanyl. The study method was a randomized controlled clinical intervention study carried out from June  2021 to September 2021, on 63 patients randomly divided into 2 groups:  Group I – patients were received postoperative pain relief by PCEA; group II- patients were received postoperative pain by CEI method. Research results show that PCEA and CEI methods through epidural analgesia catheter in thoracic surgery have good pain relief both at rest and at movements, with few side effects. Furthermore, the PCEA method uses less pain reliever and the patient has more rapid pain control compared with CEI.