Abstract: Objective To investigate the efficacy of wireless remote analgesic pump monitoring system combined with education on patient-controlled analgesia in the analgesia after thoracic surgery. Methods Sixty patients undergoing thoracoscopic-assisted radical resection for esophageal carcinoma or lung cancer were selected and based on the random number table method were randomly divided into group Ⅰ and groupⅡ (n=30). Patients in group Ⅰ were provided with postoperative analgesia using wireless remote analgesic pump monitoring system, while the patients and their families were educated about postoperative analgesia at different time points. Those in group Ⅱ was given general electronic analgesia pumps alone. Then, numerical rating scale (NRS) scores 4, 8, 12, 24 h and 48 h after surgery, the rate of passive visit of anesthesiologists, and the satisfaction score of patients after analgesic pump use at each time point were recorded. Results Compared with group Ⅱ, the NRS scores at 4, 8, 12, 24 h in groupⅠ were declined (P<0.05). Passive visit was conducted by anesthesiologists for 3 patients (10%) in group I and 13 patients (43.3%) in group Ⅱ (P<0.05). Alarm was detected by remote data monitoring for 8 times in group I, while feedback about inadequate analgesia from the ward was reported for 13 times in group Ⅱ. The duration of effective treatment in the ward was (9±3) min for group Ⅰ and (13±7) min for group Ⅱ (P<0.05). The degree of satisfaction was higher in group Ⅰ than that in group Ⅱ 4, 8, 12 h and 24 h after surgery (P<0.05). Conclusions The combined use of wireless remote analgesic pump monitoring system and education on postoperative analgesia among patients and their families after thoracic surgery provides individualized anesthetic management, which improves analgesic effect and patients' satisfaction.
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