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Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions
Patient-controlled analgesia (PCA) is common practice for acute postoperative pain management. Postoperative PCA use decreases pain intensity and improves patient satisfaction when compared to non-PCA routes of medication administration. Although PCA has several advantages regarding efficacy and saf...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232305/ https://www.ncbi.nlm.nih.gov/pubmed/30460217 http://dx.doi.org/10.3389/fped.2018.00336 |
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author | Ocay, Don Daniel Otis, Annik Teles, Alisson R. Ferland, Catherine E. |
author_facet | Ocay, Don Daniel Otis, Annik Teles, Alisson R. Ferland, Catherine E. |
author_sort | Ocay, Don Daniel |
collection | PubMed |
description | Patient-controlled analgesia (PCA) is common practice for acute postoperative pain management. Postoperative PCA use decreases pain intensity and improves patient satisfaction when compared to non-PCA routes of medication administration. Although PCA has several advantages regarding efficacy and safety, adverse events remain a concern. Programming errors and protocols, patient monitoring, and PCA by proxy or with continuous infusion are recurring silent dangers of PCA use in children and adolescents. Innovative considerations need to be emphasized for future improvement of PCA devices for elective surgical patients. With technology within the healthcare setting advancing at a fast pace, smart pump technology is something to look forward to. |
format | Online Article Text |
id | pubmed-6232305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-62323052018-11-20 Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions Ocay, Don Daniel Otis, Annik Teles, Alisson R. Ferland, Catherine E. Front Pediatr Pediatrics Patient-controlled analgesia (PCA) is common practice for acute postoperative pain management. Postoperative PCA use decreases pain intensity and improves patient satisfaction when compared to non-PCA routes of medication administration. Although PCA has several advantages regarding efficacy and safety, adverse events remain a concern. Programming errors and protocols, patient monitoring, and PCA by proxy or with continuous infusion are recurring silent dangers of PCA use in children and adolescents. Innovative considerations need to be emphasized for future improvement of PCA devices for elective surgical patients. With technology within the healthcare setting advancing at a fast pace, smart pump technology is something to look forward to. Frontiers Media S.A. 2018-11-06 /pmc/articles/PMC6232305/ /pubmed/30460217 http://dx.doi.org/10.3389/fped.2018.00336 Text en Copyright © 2018 Ocay, Otis, Teles and Ferland. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Ocay, Don Daniel Otis, Annik Teles, Alisson R. Ferland, Catherine E. Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions |
title | Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions |
title_full | Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions |
title_fullStr | Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions |
title_full_unstemmed | Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions |
title_short | Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions |
title_sort | safety of patient-controlled analgesia after surgery in children and adolescents: concerns and potential solutions |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232305/ https://www.ncbi.nlm.nih.gov/pubmed/30460217 http://dx.doi.org/10.3389/fped.2018.00336 |
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