Patient Attitudes Regarding PCA and Associated Costs

Badner, Neal H.; Komar, Wendy E.; Craen, Rosemary A.

doi:10.1097/00132586-199806000-00046

Cited by 3 publications

(3 citation statements)

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“…In concordance with previous reports [5,17,19,30–32], patients in the current study reported a high rate of satisfaction with the PCA modality of postoperative pain control (as reflected by a median score of 7.5 on the 0–10 scale), regardless of whether the PCA was given epidurally or intravenously. Additionally, when PCA is managed by anesthesiologists, especially those with a focused attention of an acute pain service (as in the current study), patient satisfaction is further enhanced [33].…”

Section: Discussionsupporting

confidence: 92%

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

et al. 2001

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Both techniques, i.v. and epidural PCA, result in high levels of satisfaction. Satisfaction with PCA can be accurately predicted in nearly three of four patients based on initial PCA route and preoperative attitudes. Additionally, maintaining the initial treatment plan can be accurately predicted based on age and preoperative attitudes. Patient expectations about pain relief should be addressed preoperatively, particularly with younger patients, for optimal results.

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Section: Discussionsupporting

confidence: 92%

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

et al. 2001

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“…Patients are obviously aware that good care has its price, and they seem willing to pay for it. 168 Most specialist nowadays agree that whatever methodology is used, results are best when organization is optimal, which requires a well-trained team of nurses and physicians 167,169 and adequate education. 170 This background must always be kept in mind when newer results are discussed, and it might explain why common consensus is still far away.…”

Section: Cost-benefit Considerationsmentioning

confidence: 99%

Recent Developments in Patient-Controlled Analgesia

Lehmann

2005

Journal of Pain and Symptom Management

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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. This review summarizes the more recent developments, such as new application devices and strategies, including intranasal, spinal, and regional PCA; patient-controlled sedation; experience with children and elderly people; and some data from chronic pain situations. Analyzing PCA literature from 2001 onwards confirms the author's long belief that the PCA principle ("WYNIWYG": what you need is what you get) was the most important aspect of a patient-controlled strategy, more or less independent of the type of drug or machine. Discovering this principle has changed the understanding of pain and suffering.

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“…Patient-controlled analgesia (PCA) is an effective form of analgesia where the patient is in control of his/her own pain relief 8 . However there have been reported side-effects associated with the use of PCA such as respiratory depression 9 as well as nausea and vomiting 10 .…”

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confidence: 99%

Morphine-Sparing Effect of Ketoprofen after Abdominal Surgery

Rao

Cardosa

Inbasegaran

2000

Anaesth Intensive Care

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In a double-blind, placebo-controlled clinical trial (power of 80% to detect a 30% reduction in morphine consumption, P<0.05), we have determined that the administration of two doses of intravenous ketoprofen 100 mg, one at the end of surgery and the second 12 hours postoperatively, was associated with a significant reduction in morphine consumption at eight (P=0.028), 12 (P=0.013) and 24 hours (P=0.013) but not four hours (P=0.065) postoperatively, as compared to placebo, when assessed by patient-controlled analgesia. There was no difference between the groups in pain scores or in the incidence of nausea and vomiting. One patient in the placebo group suffered from excessive sedation while one patient from the ketoprofen group suffered from transient oliguric renal failure. There were no other adverse effects. The results of this study show that ketoprofen does provide a morphinesparing effect in the management of postoperative pain after abdominal surgery.

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Patient Attitudes Regarding PCA and Associated Costs

Cited by 3 publications

References 0 publications

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

Recent Developments in Patient-Controlled Analgesia

Morphine-Sparing Effect of Ketoprofen after Abdominal Surgery

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