Related Experiment Videos
[Patient-controlled analgesia in children]
T G Hansen1, S W Henneberg, P Hole
1Anaestesi- og intensiv afdeling V, Odense Sygehus.
Ugeskrift for Laeger
|February 8, 1993
Summary
Patient-controlled analgesia (PCA) effectively manages pain in children after surgery. This method provides safe and high-quality pain relief with minimal side effects in pediatric patients.
Area of Science:
- Pediatric Anesthesiology
- Pain Management
- Pharmacology
Context:
- Introduction of intravenous patient-controlled analgesia (PCA) in pediatric care.
- Evaluation of PCA in children undergoing major orthopedic or abdominal surgery.
- Implementation at Odense University Hospital's Department of Anaesthesiology and Intensive Care.
Purpose:
- To assess the efficacy and safety of intravenous PCA for pediatric postoperative pain management.
- To determine appropriate morphine dosage and administration parameters for children.
- To evaluate patient-reported pain scores and observed side effects.
Summary:
- The study involved 13 children (ages 4-15) receiving PCA with morphine post-surgery.
- Initial settings included a 25 mcg/kg bolus dose and an 8-minute lockout interval.
- Average morphine consumption was 9.5 mcg/kg/hour over a mean of 89 postoperative hours.
- Pain control was rated as good with few minor side effects.
Impact:
- Demonstrates PCA as an effective and safe method for providing quality analgesia in children.
- Highlights the successful integration of PCA into pediatric surgical care.
- Provides data supporting the use of PCA for postoperative pain in pediatric populations.