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British Journal of Anaesthesia, 2001, Vol. 87, No. 4 633-635
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Short Communications

Comparison of patient-controlled epidural analgesia with and without night-time infusion following gastrectomy

H. Komatsu1, S. Matsumoto and H. Mitsuhata

1Department of Anesthesiology, Akita University School of Medicine, 2Department of Anesthesiology and Pain Clinic, Hiraka General Hospital and 3Department of Anesthesiology, Juntendo University School of Medicine, Hondo 1-1-1, Akita City, Akita 010-8543, Japan*Corresponding author

To assess the analgesic efficacy and side effects of a supplemental night-time infusion in patient-controlled epidural analgesia (PCEA) after gastrectomy, we carried out a randomized, double-blind study. The number of requests were lower (P<0.005) in the PCEA plus night-time infusion group than in the PCEA alone group during the postoperative nights. Patients who had a PCEA plus night-time continuous infusion, slept with fewer interruptions than those who had only the PCEA. VAS pain scores on coughing were significantly lower (P<0.05) in the PCEA plus infusion group than in the PCEA alone group during the night following postoperative day 1. In conclusion, a night-time infusion in PCEA following gastrectomy decreases the incidence of postoperative pain, provides a better sleep pattern, and reduces the degree of the pain associated with coughing during the night.

Br J Anaesth 2001; 87: 633–5


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J. J. Nightingale, M. V. Knight, B. Higgins, and T. Dean
Randomized, double-blind comparison of patient-controlled epidural infusion vs nurse-administered epidural infusion for postoperative analgesia in patients undergoing colonic resection
Br. J. Anaesth., March 1, 2007; 98(3): 380 - 384.
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