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: 2037 relevant articles (181 outcomes, 325 trials/studies)

Relationship Network

Therapy Context: Research Results

Experts

1.	Kang, Hyun: 13 articles (07/2018 - 11/2011)
2.	Tsou, Mei-Yung: 10 articles (02/2020 - 11/2007)
3.	Chang, Kuang-Yi: 9 articles (02/2020 - 05/2013)
4.	St Peter, Shawn D: 8 articles (08/2020 - 01/2012)
5.	Lee, Cheol: 8 articles (01/2020 - 01/2013)
6.	Jung, Yong Hun: 8 articles (07/2018 - 11/2011)
7.	Viscusi, Eugene R: 8 articles (01/2016 - 03/2004)
8.	Chelly, Jacques E: 7 articles (01/2020 - 05/2004)
9.	Baek, Chong Wha: 7 articles (07/2018 - 11/2011)
10.	Woo, Young Cheol: 7 articles (07/2018 - 11/2011)

Related Diseases

1.	Pain (Aches) 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. " 08/15/1992 - "Drug administration systems for patient-controlled analgesia include benefits of improved pain control, minimal adverse reactions, lower doses compared with conventional therapy, a high degree of patient acceptance, reduced labor costs, and achievable home therapy. " 01/01/2017 - "An innovative nonpharmacological intervention combined with intravenous patient-controlled analgesia increased patient global improvement in pain and satisfaction after major surgery."
2.	Postoperative Pain 03/01/2008 - "Postoperative pain management has dramatically improved with the advent of patient-controlled analgesia (PCA) delivery. " 01/01/2016 - "Intravenous patient-controlled analgesia was related to improved survival, less complications and chronic post-surgical pain after major abdominal surgery, reiterating the important role of pain management for the prognosis of patients who underwent surgery." 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). " 02/01/2017 - "Patient-controlled analgesia is more effective than traditional intravenous as-needed dosing regimens for managing postoperative pain in older children and adults. "
3.	Postoperative Nausea and Vomiting (PONV) 07/01/2018 - "This study aims to evaluate retrospectively the electronic medical records of surgical patients who received intravenous patient-controlled analgesia, to identify potential relationships between the incidence and risk factors of 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. " 01/01/2023 - "The machine learning models of PONV provided a good preoperative prediction of PONV for intravenous patient-controlled analgesia." 01/01/2023 - "Development and assessment of novel machine learning models to predict the probability of postoperative nausea and vomiting for patient-controlled analgesia."
4.	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." 01/01/2023 - "This study analysed whether local anaesthetic wound catheter infiltration (LA-WCI) as an adjunct to intravenous patient-controlled analgesia (IV-PCA) provides superior outcomes compared to IV-PCA alone following liver resection. " 10/01/2021 - "Studies compared epidural analgesia (EDA) (n = 845), patient controlled analgesia (PCA) (n = 425) and transabdominal wound catheters (TAWC) (n = 43). " 12/01/2023 - "Patient-controlled analgesia (PCA) has potential as a form of analgesia for trauma patients in the emergency department (ED). "
5.	Acute Pain 05/01/2005 - "Patient-controlled analgesia (PCA) has become the gold standard for acute pain management since it was first introduced 20 years ago, and its merits have been discussed in quite a large number of publications. " 08/01/1990 - "Patient-controlled analgesia (PCA) pumps enhance the efficacy of continuous infusions by allowing the patient to administer bolus doses to control acute pain." 12/01/2017 - "The findings of this study do not favor patient-controlled analgesia over usual ED care for acute pain management." 10/01/2007 - "This qualitative study investigated surgical nurses' perceptions of patient-controlled analgesia as a strategy for managing acute pain in a tertiary care hospital. " 01/01/2022 - "A search of PubMed, MEDLINE, and the Cochrane Database was conducted using the MESH search terms emergency department, patient-controlled analgesia, and acute pain up to September 2021. "

Related Drugs and Biologics

1.	Morphine (MS Contin)
2.	Opioid Analgesics (Opioids)
3.	Fentanyl (Sublimaze)
4.	Analgesics (Analgesic Drugs)
5.	Ondansetron (Zofran)
6.	Ketamine
7.	Hydromorphone (Dilaudid)
8.	Sufentanil (Sufenta)
9.	ramosetron (Nasea)
10.	Remifentanil (Ultiva)

Related Therapies and Procedures

1.	Analgesia
2.	Epidural Analgesia
3.	Therapeutics
4.	Knee Replacement Arthroplasty (Total Knee Replacement)
5.	Catheters