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...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-11-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fped.2018.00336/full |
| _version_ | 1818972377547014144 |
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| author | Don Daniel Ocay Don Daniel Ocay Annik Otis Annik Otis Alisson R. Teles Alisson R. Teles Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland |
| author_facet | Don Daniel Ocay Don Daniel Ocay Annik Otis Annik Otis Alisson R. Teles Alisson R. Teles Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland |
| author_sort | Don Daniel Ocay |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-20T15:07:18Z |
| format | Article |
| id | doaj.art-0fa8244245f5417b82c0a4c54abe5417 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-20T15:07:18Z |
| publishDate | 2018-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-0fa8244245f5417b82c0a4c54abe54172022-12-21T19:36:25ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602018-11-01610.3389/fped.2018.00336416076Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential SolutionsDon Daniel Ocay0Don Daniel Ocay1Annik Otis2Annik Otis3Alisson R. Teles4Alisson R. Teles5Catherine E. Ferland6Catherine E. Ferland7Catherine E. Ferland8Catherine E. Ferland9Catherine E. Ferland10Catherine E. Ferland11Department of Experimental Surgery, McGill University, Montreal, QC, CanadaShriners Hospitals for Children-Canada, Montreal, QC, CanadaDepartment of Anesthesia, McGill University, Montreal, QC, CanadaDepartment of Anesthesia, Montreal Children's Hospital, Montreal, QC, CanadaShriners Hospitals for Children-Canada, Montreal, QC, CanadaIntegrated Program in Neuroscience, McGill University, Montreal, QC, CanadaDepartment of Experimental Surgery, McGill University, Montreal, QC, CanadaShriners Hospitals for Children-Canada, Montreal, QC, CanadaDepartment of Anesthesia, McGill University, Montreal, QC, CanadaDepartment of Anesthesia, Montreal Children's Hospital, Montreal, QC, CanadaIntegrated Program in Neuroscience, McGill University, Montreal, QC, CanadaChild Health and Human Development, Research Institute-McGill University Health Centre, Montreal, QC, CanadaPatient-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.https://www.frontiersin.org/article/10.3389/fped.2018.00336/fullpatient-controlled analgesiapediatricssafetysurgeryconcernssolutions |
| spellingShingle | Don Daniel Ocay Don Daniel Ocay Annik Otis Annik Otis Alisson R. Teles Alisson R. Teles Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Catherine E. Ferland Safety of Patient-Controlled Analgesia After Surgery in Children And Adolescents: Concerns And Potential Solutions Frontiers in Pediatrics patient-controlled analgesia pediatrics safety surgery concerns 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 | patient-controlled analgesia pediatrics safety surgery concerns solutions |
| url | https://www.frontiersin.org/article/10.3389/fped.2018.00336/full |
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