Quantifying Oral Analgesic Consumption Using a Novel Method and Comparison with Patient-Controlled Intravenous Analgesic Consumption

Analgesia after arthroscopic rotator cuff repair: Subacromial versus interscalene continuous infusion of ropivacaine

“…Oral PCA was proposed as a rescue medication by Stribel et al, 21 who used a modified Baxter PCA ondemand system designed for IV drug administration. They documented that PO-PCA provided equally effective pain relief as IV-PCA after orthopedic surgery.…”

Orthopaedic Postoperative Pain Management

“…Streibel and colleagues compared oral PCA with IV PCA in 60 patients after orthopaedic surgery. 43 After titration to comfort, patients were randomly assigned to self-administer IV doses of parenteral morphine via a portable IV PCA device or doses of oral morphine solution via a modified version of the same PCA device. Patients reported comparable pain relief and satisfaction and had a similar low incidence of side effects.…”

“…The authors described oral PCA as an "attractive, noninvasive alternative for postoperative pain management in patients permitted to drink oral fluids." 43 A successful Canadian oral PCA pilot program for patients after laminectomy or spinal fusion was reported. 42 Patients were allowed to keep a single dose of oral IR opioid analgesic at the bedside in a child-resistant container.…”

Prise en charge de la douleur après césarienne sous anesthésie locorégionale

“…Comme pour la PCA intraveineuse, la PCOA permet de responsabiliser la patiente, de lui octroyer une certaine autonomie mais nécessite cependant un véritable engagement de l'équipe pour éduquer et informer. Les premières études randomisées sur le sujet ont confirmé que la PCOA était associée à une augmentation de la satisfaction des patientes, une meilleure analgésie et s'avérait équivalente à la PCA en termes d'efficacité [33,34].…”