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05) and lower for laparoscopy (-1 unit, P=0.031). Sedation occurred less frequently for ITM + PCA vs PCA at 24hours (3.5% vs 11.4%, P=0.031), with nonsignificant reduction at 48hours (4.8% vs 18.8%, P=0.09 for laparotomy, but with no difference for laparoscopy (P0.05). Incidence of nausea and vomiting and length of admission were similar for ITM + PCA vs PCA alone for laparotomy or laparoscopy (P0.05). This retrospective study demonstrated that ITM + PCA can achieve similar analgesic effects after laparotomy and laparoscopy c
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