A Randomized Controlled Trial of Patient-controlled Analgesia Compared with Boluses of Analgesia for the Control of Acute Traumatic Pain in the Emergency Department

Rahman, Nik Hisamuddin Na; DeSilva, Terence

doi:10.1016/j.jemermed.2012.02.069

Cited by 22 publications

(34 citation statements)

References 16 publications

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“…One potential solution could be the use of patient-controlled analgesia in this setting. A recent randomised-controlled study in the ED showed that patients who received patient-controlled analgesia had more rapid and greater pain relief than patients who received conventional care 11. Nonetheless, our results indicate that using fixed doses regardless of patient weight is an appropriate strategy even in the heaviest of patients.…”

Section: Discussionmentioning

confidence: 50%

Analgesic response to morphine in obese and morbidly obese patients in the emergency department

2013

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Section: Discussionmentioning

confidence: 50%

Analgesic response to morphine in obese and morbidly obese patients in the emergency department

2013

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“…In acute traumatic pain in the emergency department, i.v. PCA with morphine was associated with faster pain relief and greater patient satisfaction than standard analgesia 17 . However, the current study was more concerned with a comparison among local anesthetics during PCA, and only a few studies have compared the effects of i.v.…”

Section: Discussionmentioning

confidence: 90%

Patient-controlled epidural analgesia versus conventional epidural analgesia after total hip replacement - a randomized trial

Máca¹,

Neiser²,

Grasslova³

et al. 2020

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aims. Patient-controlled analgesia (PCA) is usually considered a better option for pain management compared to conventional analgesia. The beneficial effect of PCA has been assessed in a number of studies; however, the results are inconsistent. The goal of this study was to compare of patient-controlled epidural analgesia (PCEA) to conventional epidural analgesia after total hip replacement (THR). Methods. This prospective study was performed at the Department of Anesthesia and Intensive Care Medicine at a tertiary university hospital. After THR, patients were admitted to the intensive care unit (ICU) and randomized to one of two groups (PCEA and non-PCEA). Postoperative pain in the PCEA group was treated using a standardized protocol, while the analgesia in the non-PCEA group was based on physician prescription according to the patient's clinical condition. The total consumption of analgesics, patients' satisfaction, pain intensity, and analgesia-related complications were recorded for 24 h after surgery. Results. The final sample consisted of 111 patients (PCEA group, n=55 and non-PCEA group, n=56). The PCEA group had significantly lower total consumption of analgesic mixtures (0.9±0.3 and 1.3±0.4 mL/kg per day, P<0.001).There was greater patient satisfaction (P<0.001) in the PCEA group. The mean pain intensity over 24 hours postoperatively was similar for both groups (P=0.14). There was no significant difference in rate of analgesia-related complications between the groups (hypotension, P=0.14; bradypnea, P=0.11). Conclusion. Compared to conventional epidural analgesia based on physician prescription, PCEA led to less total analgesic consumption and greater patient satisfaction after THR.

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“…PCA is commonly used for acute postoperative pain, but it can also be used for the management of other types of acute pain such as in the hospital emergency department 33 . It has been documented that acute pain is not controlled adequately in the emergency care setting 34,35 . This observation of suboptimal pain management may extend to situations in which the patient requires transfer between hospitals (usually for a higher level of care) in emergency vehicles 36,37 .…”

Section: Patient-controlled Analgesia: Backgroundmentioning

confidence: 99%

Non-invasive patient-controlled analgesia in the management of acute postoperative pain in the hospital setting

Morlion

Schäfer

Betteridge

et al. 2018

Current Medical Research and Opinion

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Evidence-based guidelines for acute postoperative pain management support the use of multimodal regimens in many situations. As effective and safe alternatives to conventional PCA, and with the added benefits of being non-invasive, easy to use and allowing early patient mobilization, the newer PCA systems may complement multimodal approaches, or potentially replace certain regimens, in hospitalized patients with acute postoperative pain.

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A Randomized Controlled Trial of Patient-controlled Analgesia Compared with Boluses of Analgesia for the Control of Acute Traumatic Pain in the Emergency Department

Cited by 22 publications

References 16 publications

Analgesic response to morphine in obese and morbidly obese patients in the emergency department

Analgesic response to morphine in obese and morbidly obese patients in the emergency department

Patient-controlled epidural analgesia versus conventional epidural analgesia after total hip replacement - a randomized trial

Non-invasive patient-controlled analgesia in the management of acute postoperative pain in the hospital setting

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