Give a hand to PCA

Lim, Agnes; Marjot, R.; Simons, B.

doi:10.1111/j.1365-2044.1994.tb04425.x

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“…Patients who are physically unable to operate conventional PCA may bene®t from modi®cations to the system. There is a report 8 of modi®cation made for patients with severe arthritis, allowing activation of the PCA by pushing the handset against the palm of their opposite hand or against their iliac crest. Another report 9 of unconventional use of PCA describes family-controlled analgesia where a family member is designated as the patient's pain manager (to prevent overdosing only one person at a time can manage the patient's pain).…”

Section: Discussionmentioning

confidence: 99%

Use of breath-activated Patient Controlled Analgesia for acute pain management in a patient with quadriplegia

Jastrzab

Khor

1999

Spinal Cord

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We report the use of breath-activated Patient Controlled Analgesia (PCA) for the provision of analgesia in a quadriplegic patient with traumatic neck injury. This provided good pain relief, decreased opioid complications, improved perceptions of self-control, smoothed recovery and enhanced patient, family as well as sta satisfaction. The setup and principles of its use in a patient with high anxiety and unable to use conventionally activated PCA are illustrated.

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Section: Discussionmentioning

confidence: 99%