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Updated: Jun 14, 2026
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
[Patient controlled analgesia in children]
E Fournier-Charrière1, B Tourniaire
1Unité douleur et soins palliatifs de l'adulte et de l'enfant, CHU de Bicêtre, Assistance publique-Hôpitaux de Paris 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France. elisabeth.fournier-charriere@bct.aphp.fr
Summary
Patient Controlled Analgesia (PCA) allows patients 6 years and older to self-manage morphine for pain relief via a programmable pump. This safe and effective method adapts dosage to pain levels, requiring patient and caregiver education.
Area of Science:
- Pain Management
- Pharmacology
- Pediatric Care
Background:
- Patient Controlled Analgesia (PCA) is a method for delivering morphine analgesia.
- It utilizes a programmable pump allowing patients to self-administer doses.
- Dosage is customized based on pain levels, with dose limits and lockout periods defined.
Purpose of the Study:
- To describe the utility and implementation of Patient Controlled Analgesia (PCA) in pain management.
- To highlight the safety and efficacy of PCA for pediatric patients.
- To emphasize the importance of training for patients, caregivers, and healthcare staff.
Main Methods:
- PCA involves patient self-administration of programmed morphine boluses.
- Initial bolus (titration) manages severe pain.
- Continuous infusion is an option for severe pain, requiring close monitoring of respiratory rate and sedation levels.
Main Results:
- PCA effectively adapts morphine dosage to individual pain levels.
- The method demonstrates a high safety profile when used correctly.
- Unwanted side effects of morphine analgesia require prevention and management.
Conclusions:
- PCA is a safe and effective analgesia technique for patients aged six and above.
- Patient and caregiver education is crucial for successful PCA implementation.
- Adequate training for nursing staff is essential for managing PCA therapy.
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