prikaz prve stranice dokumenta Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study
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Scientific paper - Original scientific paper
Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study
Acta clinica Croatica, 56. (2017), 2.; 236-243. https://doi.org/10.20471/acc.2017.56.02.06
Kurtović, Biljana; Rotim, Krešimir; Mladić Batinica, Inga; Milošević, Milan; Božić, Boris; Kalauz, Sonja

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Kurtović, B., Rotim, K., Mladić Batinica, I., Milošević, M., Božić, B. & Kalauz, S. (2017). Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study. Acta clinica Croatica, 56.. (2.), 236-243. doi: 10.20471/acc.2017.56.02.06

Kurtović, Biljana, et al. "Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study." Acta clinica Croatica, vol. 56., no. 2., 2017, pp. 236-243. https://doi.org/10.20471/acc.2017.56.02.06

Kurtović, Biljana, Krešimir Rotim, Inga Mladić Batinica, Milan Milošević, Boris Božić and Sonja Kalauz. "Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study." Acta clinica Croatica 56., no. 2. (2017): 236-243. https://doi.org/10.20471/acc.2017.56.02.06

Kurtović, B., et al. (2017) 'Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study', Acta clinica Croatica, 56.(2.), pp. 236-243. doi: 10.20471/acc.2017.56.02.06

Kurtović B, Rotim K, Mladić Batinica I, Milošević M, Božić B, Kalauz S. Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study. Acta clinica Croatica [Internet]. 2017 [cited 2024 November 18];56.(2.):236-243. doi: 10.20471/acc.2017.56.02.06

B. Kurtović, K. Rotim, I. Mladić Batinica, M. Milošević, B. Božić and S. Kalauz, "Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study", Acta clinica Croatica, vol. 56., no. 2., pp. 236-243, 2017. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:927099. [Accessed: 18 November 2024]

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Title (english)Analgesic Effect – Comparison of Paracetamol Administered Intermittently and Through Patient-Controlled Analgesia Pump after Lumbar Discectomy: a Prospective Clinical Study
Title (croatian)Usporedba analgetskog učinka paracetamola primijenjenog intermitentno i putem samostalno kontrolirane crpke nakon lumbalne diskektomije: prospektivna klinička studija
AuthorBiljana Kurtović
AuthorKrešimir Rotim
AuthorInga Mladić Batinica
AuthorMilan Milošević
AuthorBoris Božić
AuthorSonja Kalauz
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract (english)
Lumbar discectomy is the most common surgical treatment for intervertebral disc extrusion. Postoperative pain is a common clinical problem that greatly affects the length of hospitalization, functional status and patient quality of life. Th e aim of this study was to compare the postoperative analgesic effi cacy of paracetamol administered intermittently and through patient-controlled analgesia (PCA) pump following single level lumbar discectomy. Patients who underwent elective lumbar discectomy of intervertebral disc extrusion at the L4-L5 level diagnosed by magnetic resonance of the lumbosacral spine were included in the study. Pain was assessed at regular intervals for 48 hours through a shortened version of McGill pain questionnaire translated in the Croatian language. When pain was monitored as a summarized variable for each measurement, PCA group significantly stood up after 24 hours with better perception of pain compared to the intermittent group (c2-test, p<0.05). Adequate pain relief is an important aspect of postoperative care in spinal surgery patients. Postoperative use of paracetamol through PCA pump achieved better pain control and pain management versuspostoperative use of intermittent paracetamol analgesia after lumbar discectomy.
Abstract (croatian)
Lumbalna diskektomija je najčešći kirurški način liječenja hernijacije intervertebralnog diska lumbalnog dijela kralježnice. Bol je čest klinički problem koji uvelike utječe na trajanje bolničkog liječenja, funkcionalni status i kvalitetu života bolesnika. Cilj studije bio je usporediti učinkovitost poslijeoperacijske analgezije paracetamolom primijenjenim intermitentno i putem samostalno kontrolirane crpke (patient-controlled analgesia, PCA) nakon neurokirurškog operativnog zahvata ekstruzije intervertebralnog diska na razini L4-L5. Ispitanici su bili bolesnici kojima je elektivnim zahvatom učinjena lumbalna diskektomija intervertebralnog diska na razini L4-L5, ustanovljena magnetskom rezonancom. Bol je procjenjivana u jednakim vremenskim intervalima kroz 48 sati putem skraćene verzije McGillova upitnika za procjenu boli, na hrvatskom jeziku. Promatrajući bol kao sažetu varijablu svakog mjerenja, skupina ispitanika PCA je pokazala značajno bolje rezultate percepcije boli nakon 24 sata od operacijskog zahvata u odnosu na skupinu koja je primala intermitentno primijenjenu analgeziju paracetamolom (c2-test, p<0,05). Odgovarajuća poslijeoperacijska analgezija važan je aspekt poslijeoperacijske skrbi bolesnika nakon kirurškog zahvata na kralježnici. Poslijeoperacijska primjena paracetamola putem PCA dovodi do bolje kontrole boli u usporedbi s intermitentnim davanjem paracetamola u bolesnika nakon lumbalne diskektomije.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 56., no. 2., pp. 236-243
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2017.56.02.06
URN:NBNurn:nbn:hr:220:927099
Publication2017
Document URLhttps://hrcak.srce.hr/186416
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2023-11-20 11:42:21