Patient-Controlled Analgesia (Analgesia, Patient Controlled)

Relief of PAIN, without loss of CONSCIOUSNESS, through ANALGESIC AGENTS administered by the patients. It has been used successfully to control POSTOPERATIVE PAIN, during OBSTETRIC LABOR, after BURNS, and in TERMINAL CARE. The choice of agent, dose, and lockout interval greatly influence effectiveness. The potential for overdose can be minimized by combining small bolus doses with a mandatory interval between successive doses (lockout interval).

Also Known As:

Networked: 1414 relevant articles (144 outcomes, 207 trials/studies)

Relationship Network

Therapy Context: Research Results

Experts

1.	Viscusi, Eugene R: 7 articles (01/2016 - 03/2004)
2.	Kang, Hyun: 7 articles (10/2014 - 11/2011)
3.	Weinbroum, Avi A: 7 articles (08/2012 - 06/2002)
4.	Damaraju, C V: 7 articles (05/2010 - 11/2006)
5.	Hewitt, David J: 7 articles (09/2009 - 11/2006)
6.	Minkowitz, Harold S: 6 articles (09/2015 - 11/2007)
7.	Katz, Joel: 6 articles (04/2015 - 08/2004)
8.	Chelly, Jacques E: 6 articles (01/2015 - 05/2004)
9.	Yeh, Mei-Ling: 6 articles (12/2014 - 07/2005)
10.	Chen, Hsing-Hsia: 6 articles (12/2014 - 07/2005)

Related Diseases

1.	Pain (Aches) 08/01/2007 - "The most effective treatment of an episode of breakthrough pain was a patient-controlled analgesia opioid bolus dose. " 04/01/2007 - "In conclusion, placement of a thoracic epidural catheter delivering a local anesthetic in addition to intravenous (IV) patient-controlled analgesia with opiates provided safe and effective pain control in most patients. " 12/01/2012 - "Although the patient-controlled analgesia device can be very effective in managing pain, patients using external pump delivery have several problems because of their lack of knowledge of patient-controlled analgesia. " 04/01/1993 - "The aim of this study was to determine whether the addition of a background infusion (BI) to patient-controlled analgesia (PCA) would lead to significantly improved pain control or poorer oxyhaemoglobin saturation (SpO2) after gynaecological surgery. " 12/01/1996 - "There was a small, but non-significant, reduction in pain scores in the patient-controlled analgesia group. "
2.	Postoperative Pain 03/01/2008 - "Postoperative pain management has dramatically improved with the advent of patient-controlled analgesia (PCA) delivery. " 09/01/1997 - "Intravenous patient-controlled analgesia (PCA-i.v.) has has markedly improved postoperative pain-relief. " 05/01/2015 - "In addition, epidural analgesia was found to be associated with improved postoperative pain scores compared with intravenous patient-controlled analgesia on PODs 1 (P = 0.0001) and 2 (P = 0.004), and there was a slight improvement on POD 3, but this was not significant (P = 0.77). " 04/15/2003 - "To compare the efficacy of patient-controlled analgesia (PCA) with that of patient-controlled epidural analgesia (PCEA) in terms of overall patient satisfaction with postoperative pain management after lumbar spine fusion. " 06/01/1989 - "The purpose of this study was to determine if patient-controlled analgesia (PCA) is an effective method of postoperative pain relief for children. "
3.	Postoperative Nausea and Vomiting (PONV) 03/01/2009 - "The current study was designed to compare the impact of multi-modal pre-emptive analgesia versus patient-controlled analgesia on postoperative nausea, rehabilitation participation, and length of stay following total joint arthroplasty. " 09/01/2002 - "The aim of this prospective, controlled study was to evaluate the risk factors for postoperative emesis in patients undergoing gynecologic surgery and receiving patient-controlled analgesia for three days. " 09/01/2013 - "Risk assessment of postoperative nausea and vomiting in the intravenous patient-controlled analgesia environment: predictive values of the Apfel's simplified risk score for identification of high-risk patients." 04/01/2011 - "The incidence of PONV (P = 0.022), the number of requests for patient-controlled analgesia (P = 0.009), and total patient-controlled analgesia volume (P = 0.042) 6 hours after tetanic stimulation were significantly reduced in the treatment group compared with the control group. " 01/01/2010 - "Postoperative nausea and vomiting (PONV) is common complication of Patient-Controlled Analgesia (PCA) after surgery. "
4.	Neoplasms (Cancer) 07/01/2015 - "The Safety and Effectiveness of Patient-controlled Analgesia in Outpatient Children and Young Adults With Cancer: A Retrospective Study." 10/01/2013 - "Evaluation of a balloon-based vaginal packing system and patient-controlled analgesia for patients with cervical cancer undergoing high-dose-rate intracavitary brachytherapy." 08/01/2011 - "Patient-controlled analgesia in patients with advanced cancer. " 07/01/2008 - "Sequential patients undergoing anterolateral thoracotomy for MIDCAB, lung tumor resection, or median sternotomy for OPCAB were randomized to one of the two intravenous patient-controlled analgesia (IV-PCA) protocols. " 02/01/2007 - "In a retrospective study we analyzed data on care intensity, logistics and outcome of 46 consecutive palliative cancer patients with patient-controlled analgesia (PCA) in a home-care setting. "
5.	Wounds and Injuries (Trauma) 05/01/1996 - "A significant reduction of patient controlled analgesia requirements could be achieved by our preincisional balanced analgesia regimen compared to application before wound closure. " 01/01/1986 - "The safety and efficacy of a new patient-controlled analgesia device in hospitalized trauma and surgery patients." 01/01/2015 - "In recent years, continuous (subfascial) wound infiltration (CWI) plus patient-controlled analgesia (PCA) has been suggested as a safe and reliable alternative, which does not have the previously mentioned disadvantages, but evidence from multicenter trials targeting a specific surgical population is lacking. " 12/01/2013 - "To determine if complications from blunt thoracic trauma are reduced with patient-controlled analgesia (PCA) compared with interval analgesic dosing given as needed. " 12/01/2013 - "Patient-controlled analgesia compared with interval analgesic dosing for reducing complications in blunt thoracic trauma: a retrospective cohort study."

Related Drugs and Biologics

1.	Morphine (MS Contin)
2.	Fentanyl (Sublimaze)
3.	Ondansetron (Zofran)
4.	Ketamine
5.	Opioid Analgesics (Opioids)
6.	Tramadol
7.	Bupivacaine (Bupivacaine Hydrochloride)
8.	remifentanil (Ultiva)
9.	Analgesics (Analgesic Drugs)
10.	Acetaminophen (Paracetamol)

Related Therapies and Procedures

1.	Epidural Analgesia
2.	Analgesia
3.	Catheters
4.	Arthroplasty
5.	Hysterectomy