Document Detail

Patient controlled analgesia: redefining its role in an Indian cancer hospital.
MedLine Citation:
PMID:  20718641     Owner:  NLM     Status:  MEDLINE    
This report describes a noninterventional audit of current patient-controlled analgesia (PCA) use in an Indian cancer hospital over a 1-year period. Because there appeared to be an underutilization of PCA in the authors' hospital, they performed this audit. A major reason to start PCA was inadequate analgesia despite ongoing epidural or standard PRN analgesic regimes, especially in thoracic, major abdominal, and pelvic bone surgeries. PCA was used for an average 52.13 hours. The reason to stop the PCA in 72 patients was minimal usage due to decreased need after the second postoperative day. Multiple triggers at the same time were a common problem encountered in 21 patients. A blocked intravenous (IV) line was encountered in 12 patients. Thirty-one patients ranked their pain relief with PCA as excellent and 39 patients stated it as good. Their protocols shall be suitably amended to ensure that PCA shall be used in immediate postoperative period as a principal modality of pain relief, especially in the above-mentioned group in absence of epidural analgesia.
Sumitra G Bakshi; Parmanand N Jain; Raman Sareen
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pain & palliative care pharmacotherapy     Volume:  24     ISSN:  1536-0539     ISO Abbreviation:  J Pain Palliat Care Pharmacother     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101125608     Medline TA:  J Pain Palliat Care Pharmacother     Country:  England    
Other Details:
Languages:  eng     Pagination:  213-8     Citation Subset:  IM    
Department of Anesthesia, Tata Memorial Hospital for Cancer, Mumbai, India.
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MeSH Terms
Analgesia, Patient-Controlled*
Analgesics, Opioid / administration & dosage,  therapeutic use*
Cancer Care Facilities
Fentanyl / administration & dosage,  therapeutic use*
Injections, Intravenous
Middle Aged
Morphine / administration & dosage,  therapeutic use*
Neoplasms / surgery*
Pain Measurement
Pain, Postoperative / drug therapy*
Patient Satisfaction
Reg. No./Substance:
0/Analgesics, Opioid; 437-38-7/Fentanyl; 57-27-2/Morphine

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