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PCA is used in children as young as 56 years of age, with morphine the most commonly used and studied opioid, and hydromorphone and fentanyl more commonly used alternatives (Table 17.6).
What is patient-controlled analgesia (PCA)? PCA is a technique which allows you to administer a small amount of painkiller (usually morphine) using a machine attached to your arm; it is connected to your drip. When you press the button on the PCA machine, a small dose of the painkiller is delivered into your vein.
A method of pain relief in which the patient controls the amount of pain medicine that is used. When pain relief is needed, the person can receive a preset dose of pain medicine by pressing a button on a computerized pump that is connected to a small tube in the body. Also called patient-controlled analgesia.
The offence of special range PCA is committed by a person who drives a motor vehicle on a public road with a blood alcohol concentration of between 0.02 and 0.049. Any person who is subject to a zero alcohol limit while driving may be charged with special range PCA.
Despite a variety of medication options, morphine remains the gold standard medication for intravenous PCA. Local anesthetics are primarily used for epidural catheter and indwelling nerve catheter PCA. They include the sodium channel blockers (bupivacaine, levobupivacaine, and ropivacaine).
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Start dosing: PCA demand dose = 1-3 mg morphine; Delay Interval = 8-10 min. Initial CI (if any) is dependent on the clinical situation. For instance, 1 mg/hour of IV morphine is approximately equivalent to 35 mg bid of oral morphine ER.
Opioids used in PCA devices include morphine, hydromorphone, fentanyl, and methadone. IV or SQ are the most common routes of administration; PCA can also be used with epidural, intrathecal, or intraventricular opioid administration (see Fast Facts #28, 85, and 98).
Patient-controlled analgesia (PCA) is a type of pain management that lets you decide when you will get a dose of pain medicine. In some situations, PCA may be a better way of providing pain relief than calling for someone (typically a nurse) to give you pain medicine. With PCA you dont need to wait for a nurse.