Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

PCA and cancer pain.

J Devulder1

  • 1Department of Anesthesia, University Hospital, Gent, Belgium.

Acta Anaesthesiologica Belgica
|January 1, 1992
PubMed
Summary

Patient-controlled analgesia (PCA) offers an alternative for cancer pain management when oral medications fail. Continuous spinal PCA with morphine shows promise, potentially preventing the need for increased dosages.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Hypervigilance for innocuous tactile stimuli in patients with fibromyalgia: an experimental approach.

European journal of pain (London, England)·2014
Same author

Fibromyalgia patients and controls are equally accurate in detecting tactile stimuli while observing another in pain: an experimental study.

Attention, perception & psychophysics·2014
Same author

Personality traits in chronic pain patients are associated with low acceptance and catastrophizing about pain.

Acta clinica Belgica·2011
Same author

Opioid rotation in the management of chronic pain: where is the evidence?

Pain practice : the official journal of World Institute of Pain·2010
Same author

Impact of opioid rescue medication for breakthrough pain on the efficacy and tolerability of long-acting opioids in patients with chronic non-malignant pain.

British journal of anaesthesia·2009
Same author

Clinical pharmacy in a multidisciplinar team for chronic pain in adults.

Acta clinica Belgica·2008

Area of Science:

  • Pain management
  • Oncology
  • Pharmacology

Background:

  • Patient-controlled analgesia (PCA) is a standard for postoperative pain relief.
  • PCA presents an alternative for cancer pain when oral drug administration is ineffective.
  • PCA can be administered via subcutaneous or spinal routes, with subcutaneous preferred for simplicity.

Purpose of the Study:

  • To discuss the efficacy and application of spinal Patient-controlled analgesia (PCA) in cancer pain management.
  • To highlight the benefits of continuous spinal morphine administration.
  • To explore the potential of PCA bolus administration in preventing dose escalation.

Main Methods:

  • Review of literature on Patient-controlled analgesia (PCA) in cancer pain.
  • Discussion of continuous spinal administration of morphine.
  • Analysis of PCA bolus administration strategies.

Main Results:

  • Continuous spinal administration of morphine yielded very good results.
  • Recent literature suggests PCA bolus administration may help avoid dose escalation.
  • Spinal PCA is presented as a viable option for refractory cancer pain.

Conclusions:

  • Spinal Patient-controlled analgesia (PCA) is an effective modality for cancer pain.
  • Continuous spinal morphine administration demonstrates significant therapeutic potential.
  • PCA bolus administration may be a key strategy in managing escalating cancer pain.

Related Experiment Videos