Methoxyflurane: An inhalation anesthetic. Currently, methoxyflurane is rarely used for surgical, obstetric, or dental anesthesia. If so employed, it should be administered with NITROUS OXIDE to achieve a relatively light level of anesthesia, and a neuromuscular blocking agent given concurrently to obtain the desired degree of muscular relaxation. (From AMA Drug Evaluations Annual, 1994, p180)Analgesia, Patient-Controlled: Relief of PAIN, without loss of CONSCIOUSNESS, through ANALGESIC AGENTS administered by the patients. It has been used successfully to control POSTOPERATIVE PAIN, during OBSTETRIC LABOR, after BURNS, and in TERMINAL CARE. The choice of agent, dose, and lockout interval greatly influence effectiveness. The potential for overdose can be minimized by combining small bolus doses with a mandatory interval between successive doses (lockout interval).Encyclopedias as Topic: Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)Polypropylenes: Propylene or propene polymers. Thermoplastics that can be extruded into fibers, films or solid forms. They are used as a copolymer in plastics, especially polyethylene. The fibers are used for fabrics, filters and surgical sutures.Analgesia: Methods of PAIN relief that may be used with or in place of ANALGESICS.Analgesia, Epidural: The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.Pain, Postoperative: Pain during the period after surgery.Analgesics, Opioid: Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.Analgesia, Obstetrical: The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.Morphine: The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.Hydromorphone: An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine.Anemia, Sickle Cell: A disease characterized by chronic hemolytic anemia, episodic painful crises, and pathologic involvement of many organs. It is the clinical expression of homozygosity for hemoglobin S.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)Library Services: Services offered to the library user. They include reference and circulation.Hypokalemia: Abnormally low potassium concentration in the blood. It may result from potassium loss by renal secretion or by the gastrointestinal route, as by vomiting or diarrhea. It may be manifested clinically by neuromuscular disorders ranging from weakness to paralysis, by electrocardiographic abnormalities (depression of the T wave and elevation of the U wave), by renal disease, and by gastrointestinal disorders. (Dorland, 27th ed)Potassium: An element in the alkali group of metals with an atomic symbol K, atomic number 19, and atomic weight 39.10. It is the chief cation in the intracellular fluid of muscle and other cells. Potassium ion is a strong electrolyte that plays a significant role in the regulation of fluid volume and maintenance of the WATER-ELECTROLYTE BALANCE.Cholecystectomy, Laparoscopic: Excision of the gallbladder through an abdominal incision using a laparoscope.Hyperkalemia: Abnormally high potassium concentration in the blood, most often due to defective renal excretion. It is characterized clinically by electrocardiographic abnormalities (elevated T waves and depressed P waves, and eventually by atrial asystole). In severe cases, weakness and flaccid paralysis may occur. (Dorland, 27th ed)Hyperventilation: A pulmonary ventilation rate faster than is metabolically necessary for the exchange of gases. It is the result of an increased frequency of breathing, an increased tidal volume, or a combination of both. It causes an excess intake of oxygen and the blowing off of carbon dioxide.Hydrocortisone: The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions.Cholecystectomy: Surgical removal of the GALLBLADDER.Genital Neoplasms, Female: Tumor or cancer of the female reproductive tract (GENITALIA, FEMALE).Bupivacaine: A widely used local anesthetic agent.Labor Pain: Pain associated with OBSTETRIC LABOR in CHILDBIRTH. It is caused primarily by UTERINE CONTRACTION as well as pressure on the CERVIX; BLADDER; and the GASTROINTESTINAL TRACT. Labor pain mostly occurs in the ABDOMEN; the GROIN; and the BACK.New Orleans: City in Orleans Parish (county), largest city in state of LOUISIANA. It is located between the Mississippi River and Lake Pontchartrain.LouisianaCD-I: An optical disk storage system used on specialized players that combine the functions of computer and CD player in a self-contained box, designed to be connected to a television set and a home stereo for video and sound output. The player is controlled with a hand-held remote unit resembling a television remote control. (J Allied Health 1993 Winter;22(1):131-8)ArchivesBiological Science Disciplines: All of the divisions of the natural sciences dealing with the various aspects of the phenomena of life and vital processes. The concept includes anatomy and physiology, biochemistry and biophysics, and the biology of animals, plants, and microorganisms. It should be differentiated from BIOLOGY, one of its subdivisions, concerned specifically with the origin and life processes of living organisms.Periodicals as Topic: A publication issued at stated, more or less regular, intervals.Dexmedetomidine: A imidazole derivative that is an agonist of ADRENERGIC ALPHA-2 RECEPTORS. It is closely-related to MEDETOMIDINE, which is the racemic form of this compound.PubMed: A bibliographic database that includes MEDLINE as its primary subset. It is produced by the National Center for Biotechnology Information (NCBI), part of the NATIONAL LIBRARY OF MEDICINE. PubMed, which is searchable through NLM's Web site, also includes access to additional citations to selected life sciences journals not in MEDLINE, and links to other resources such as the full-text of articles at participating publishers' Web sites, NCBI's molecular biology databases, and PubMed Central.Postoperative Nausea and Vomiting: Emesis and queasiness occurring after anesthesia.

Dextromethorphan and pain after total abdominal hysterectomy. (1/379)

Dextromethorphan is an N-methyl-D-aspartate (NMDA) receptor antagonist which has been shown to inhibit the development of cutaneous secondary hyperalgesia after tissue trauma. We studied 60 ASA I-II patients undergoing total abdominal hysterectomy in a randomized, double-blind, placebo-controlled study. Patients received either dextromethorphan 27 mg capsules, two doses before operation and three doses in the first 24 h after operation, or placebo. Visual analogue pain scores (VAS) at 24 and 48 h were assessed at rest, on coughing and on sitting up, and were not significantly different between groups. Morphine consumption from a patient-controlled analgesia (PCA) device was also not significantly different between groups. Evidence of secondary hyperalgesia was assessed with von Frey hairs 10 cm above the Pfannenstiel incision. Both groups of patients exhibited evidence of secondary hyperalgesia after 24 and 48 h but there were no significant differences between groups. There was also no difference between groups in VAS scores at 1 month.  (+info)

Effects of prophylactic nalmefene on the incidence of morphine-related side effects in patients receiving intravenous patient-controlled analgesia. (2/379)

BACKGROUND: Opioid-related side effects associated with intravenous patient-controlled analgesia can be reduced by a low-dose naloxone infusion. The influence of nalmefene, a pure opioid antagonist with a longer duration of action, on opioid-related side effects has not been evaluated. This study was designed to determine the dose-response relation for nalmefene for the prevention of morphine-related side effects in patients receiving intravenous patient-controlled analgesia. METHODS: One hundred twenty women undergoing lower abdominal surgery were enrolled in the study. General anesthesia was induced using thiopental and rocuronium and maintained with desflurane, nitrous oxide, and fentanyl or sufentanil. All patients received neostigmine and glycopyrrolate to reverse residual neuromuscular blockade. No prophylactic antiemetics were administered. At the end of surgery, patients were randomized to receive saline, 15 microg nalmefene, or 25 microg nalmefene intravenously. The need for antiemetic and antipruritic drugs and the total consumption of morphine during the 24-h study were recorded. The incidences of postoperative nausea, vomiting, pruritus, and pain were recorded 30 min after patients were admitted to the postanesthesia care unit. In addition, patient remembrance of these side effects was noted at 24 h after operation. RESULTS: The need for antiemetic and antipruritic medications during the 24-h study period was significantly lower in the patients receiving nahmefene compared with those receiving placebo. However, the need to treat side effects was similar in the two nahmefene groups. Prophylactic administration of nalmefene reduced the patients remembrance of nausea and itching as assessed 24 h after operation. Although the total consumption of morphine during the 24-h study period was similar in the three groups, retrospectively patients who received nalmefene characterized their pain as less severe in the previous 24 h. CONCLUSION: Compared with placebo, prophylactic administration of nalmefene significantly decreased the need for antiemetics and antipruritic medications in patients receiving intravenous patient-controlled analgesia with morphine.  (+info)

Continuous epidural infusion of ropivacaine for postoperative analgesia after major abdominal surgery: comparative study with i.v. PCA morphine. (3/379)

We have compared the quality of three regimens of postoperative analgesia (continuous epidural administration of ropivacaine (Ropi. group), epidural ropivacaine and patient-controlled analgesia (PCA) with i.v. morphine (Ropi. + PCA group) and PCA morphine alone (PCA group)) during the first postoperative 24 h in a multicentre, randomized, prospective study. Postoperative analgesia was studied in 130 patients after major abdominal surgery performed under general anaesthesia. The ropivacaine groups received 20 ml of epidural bolus ropivacaine 2 mg ml-1 via the epidural route at the end of surgery, followed by continuous infusion of 10 ml h-1 for 24 h. The Ropi. + PCA group also had access to i.v. PCA morphine 1 mg, with a 5-min lockout. The PCA group received morphine as the sole postoperative pain treatment. The two ropivacaine groups had lower pain scores (P < 0.01) than the PCA group. Morphine consumption was higher in the PCA group (P < 0.05) than in the two ropivacaine groups. The quality of pain relief was rated as good or excellent in 79-85% of patients in the three groups. The percentage of patients without motor block increased between 4 and 24 h from 61% to 89% in the Ropi. group, and from 51% to 71% in the Ropi. + PCA group.  (+info)

Prospective, randomized comparison of epidural versus parenteral opioid analgesia in thoracic trauma. (4/379)

OBJECTIVE: To evaluate systemic versus epidural opioid administration for analgesia in patients sustaining thoracic trauma. SUMMARY BACKGROUND DATA: The authors have previously shown that epidural analgesia significantly reduces the pain associated with significant chest wall injury. Recent studies report that epidural analgesia is associated with a lower catecholamine and cytokine response in patients undergoing elective thoracotomy compared with patient-controlled analgesia (PCA). This study compares the effect of epidural analgesia and PCA on pain relief, pulmonary function, cathechol release, and immune response in patients sustaining significant thoracic trauma. METHODS: Patients (ages 18 to 60 years) sustaining thoracic injury were prospectively randomized to receive epidural analgesia or PCA during an 18-month period. Levels of serum interleukin (IL)-1beta, IL-2, IL-6, IL-8, and tumor necrosis factor-alpha (TNF-alpha) were measured every 12 hours for 3 days by enzyme-linked immunosorbent assay. Urinary catecholamine levels were measured every 24 hours. Independent observers assessed pulmonary function using standard techniques and analgesia using a verbal rating score. RESULTS: Twenty-four patients of the 34 enrolled completed the study. Age, injury severity score, thoracic abbreviated injury score, and length of hospital stay did not differ between the two groups. There was no significant difference in plasma levels of IL-1beta, IL-2, IL-6, or TNF-alpha or urinary catecholamines between the two groups at any time point. Epidural analgesia was associated with significantly reduced plasma levels of IL-8 at days 2 and 3, verbal rating score of pain on days 1 and 3, and maximal inspiratory force and tidal volume on day 3 versus PCA. CONCLUSIONS: Epidural analgesia significantly reduced pain with chest wall excursion compared with PCA. The route of analgesia did not affect the catecholamine response. However, serum levels of IL-8, a proinflammatory chemoattractant that has been implicated in acute lung injury, were significantly reduced in patients receiving epidural analgesia on days 2 and 3. This may have important clinical implications because lower levels of IL-8 may reduce infectious or inflammatory complications in the trauma patient. Also, tidal volume and maximal inspiratory force were improved with epidural analgesia by day 3. These results demonstrate that epidural analgesia is superior to PCA in providing analgesia, improving pulmonary function, and modifying the immune response in patients with severe chest injury.  (+info)

Epidural analgesia during labor and maternal fever. (5/379)

BACKGROUND: In recent observational studies, epidural analgesia during labor at patient request has been associated with maternal fever. The authors report a secondary analysis of fever in women who were randomized to receive either epidural or patient-controlled intravenous analgesia during labor. METHODS: Maternal tympanic temperature was measured during spontaneous labor in 715 women at term who were randomized to either epidural analgesia with bupivacaine and fentanyl or to patient-controlled intravenous analgesia with meperidine. Intent-to-treat analysis of women with fever (temperature > or = 38.0 degrees C) versus those without was performed using Student t test and Fisher exact test to determine statistical significance (P < 0.05). RESULTS: Epidural analgesia was associated with maternal fever (odds ratio = 4.0; 95% confidence interval = 2.0-7.7), as was nulliparity (odds ratio = 4.1; 95% confidence interval = 1.8-9.1) and labor longer than 12 h (odds ratio = 5.4; 95% confidence interval = 2.9-9.9). These factors were all independent variables for maternal fever when analyzed using logistic regression. CONCLUSIONS: Epidural analgesia is associated with maternal fever. However, nulliparity and dysfunctional labor are also significant cofactors in the fever attributed to epidural analgesia.  (+info)

Influence of bolus size on efficacy of postoperative patient-controlled analgesia with piritramide. (6/379)

We have examined the influence of bolus size on efficacy, opioid consumption, side effects and patient satisfaction during i.v. patient-controlled analgesia (PCA) in 60 patients (ASA I-II, aged 32-82 yr) after abdominal surgery. Patients were allocated randomly, in a double-blind manner, to receive PCA with a bolus dose of either piritramide 0.75 mg or 1.5 mg (lockout 5 min) for postoperative pain control. Mean 24 h piritramide consumption differed significantly between groups (11.4 (SD 5.8) mg vs 22.5 (18.3) mg; P = 0.001). There were no significant differences in the number of applied bolus doses, pain scores, pain relief (VAS), sedation, nausea, pruritus and patient satisfaction. We conclude that a PCA regimen with a bolus dose of piritramide 0.75 mg and a lockout time of 5 min was effective in the treatment of postoperative pain, but did not reduce the occurrence of side effects.  (+info)

Nocturnal hypoxaemia and respiratory function after endovascular and conventional abdominal aortic aneurysm repair. (7/379)

Respiratory function, assessed by pre- and postoperative spirometry, and overnight pulse oximetry recordings, was compared prospectively in patients undergoing infrarenal abdominal aortic aneurysm repair by endovascular or conventional surgery. Episodic hypoxaemia was common in both groups before operation and up to the fifth night after operation. The frequency and severity of hypoxaemia were greater in the conventional group (P < 0.05). FEV1 and FVC decreased significantly on the third and fifth days after operation in both groups (P < 0.05); decreases in FVC were greater in patients undergoing conventional surgery. On the fifth day after operation, FVC had recovered to 86% and 64% of preoperative values in the endovascular and conventional groups, respectively (P < 0.05). Duration of surgery was greater (P < 0.05) and duration of postoperative artificial ventilation significantly less (P < 0.05) after endovascular repair. Postoperative PCA morphine consumption and duration of use were significantly greater (P < 0.05) in patients undergoing conventional abdominal aortic aneurysm surgery.  (+info)

Comparison of midwife top-ups, continuous infusion and patient-controlled epidural analgesia for maintaining mobility after a low-dose combined spinal-epidural. (8/379)

We studied 133 women given a combined spinal-epidural for analgesia in labour. The initial intrathecal dose contained bupivacaine 2.5 mg with fentanyl 25 micrograms. When the mothers were comfortable, they were allocated randomly to one of three groups: continuous infusion (group Cl, n = 46), midwife top-ups (group MW, n = 43) or patient-controlled epidural analgesia (group PCEA, n = 44), to maintain analgesia throughout labour. All epidural solutions contained 0.1% bupivacaine and fentanyl 2 micrograms ml-1. Motor block was assessed by the mother's ability to straight leg raise (SLR). Four hours after combined spinal-epidural analgesia, 88.1% of women could SLR in group MW, 83.7% in group PCEA and 57.8% in group Cl (P = 0.002). Total use of bupivacaine was highest in group Cl (mean 11.3 (SD 3.3) mg h-1) compared with group MW (7.5 (3.1) mg h-1) and group PCEA (9.1 (2.1) mg h-1) (P < 0.001). Analgesia was similar between groups and overall satisfaction was equally high.  (+info)

*Patient-controlled analgesia

Patient-controlled epidural analgesia (PCEA) is a related term describing the patient-controlled administration of analgesic ... Patient-controlled analgesia (PCA) is any method of allowing a person in pain to administer their own pain relief. The infusion ... Patient Controlled Intranasal Analgesia (PCINA or Nasal PCA) refers to PCA devices in a Nasal spray form with inbuilt features ... Advantages of patient-controlled analgesia include self-delivery of pain medication, faster alleviation of pain because the ...

*Norpethidine

... toxicity and patient controlled analgesia. British Journal of Anaesthesia. 1993 Nov;71(5):738-40. Holmberg L, Odar ... Use of meperidine in patient-controlled analgesia and the development of a normeperidine toxic reaction. Archives of Surgery. ... Norpethidine accumulation and generalized seizure during pethidine patient-controlled analgesia. Anaesthesia and Intensive Care ... It is a Schedule II Narcotic controlled substance in the United States and has an ACSCN of 9233. The 2014 annual manufacturing ...

*Dihydromorphine

It is often used in Patient Controlled Analgesia units. Dihydromorphine and morphine are also used alongside each other in ... Under the Controlled Substances Act, dihydromorphine is listed as a Schedule I substance along with heroin. In the United ... 216 Costantino CM, Gomes I, Stockton SD, Lim MP, Devi LA (2012). "Opioid receptor heteromers in analgesia". Expert Rev Mol Med ... Single Convention on Narcotic Drugs, 1961 - Page 40 of 44 Controlled Substances (in alphabetical order) - Page 5 of 12 DEA ...

*Hydromorphone

May 1996). "A multidimensional comparison of morphine and hydromorphone patient-controlled analgesia". Anesth Analg. 82 (5): ... Patients with compromised kidney function and older patients are at higher risk for metabolite accumulation. Hydromorphone is ... Patients with renal abnormalities must exercise caution when dosing hydromorphone. In those with renal impairment, the half- ... Hydromorphone is a rapid acting pain killer, however some formulations can last up to several hours, patients who stop taking ...

*Pain management

Ferrante FM, Lu L, Jamison SB, Datta S (1991). "Patient-controlled epidural analgesia: demand dosing". Anesth. Analg. 73 (5): ... in patients who had patients with uncomplicated minor rib fractures. The researchers found that TENS therapy given twice a day ... sensation that alters the perception of pain by the patient. A small number of patients, especially those with severe pain from ... Essentially, the gate control theory states that sensory fibers carry their signal faster than pain fibers, and thus make their ...

*Droperidol

"Acute dystonia by droperidol during intravenous patient-controlled analgesia in young patients". J. Korean Med. Sci. 17 (5): ... Anesthesia and Analgesia. 79 (5): 983-6. doi:10.1213/00000539-000000000-00000. PMID 7978420. Park CK, Choi HY, Oh IY, Kim MS ( ... Anesthesia and Analgesia. 88 (6): 1370-9. doi:10.1097/00000539-000000000-00000. PMID 10357347. Kao LW, Kirk MA, Evers SJ, ... generally in cases of severe agitation in a psychotic patient who is refusing oral medication. Its use in intramuscular ...

*Nicomorphine

It is commonly used in patient-controlled analgesia (PCA) units. The usual starting dose is 5-10 mg given every 3-5 hours. The ... Nicomorphine is regulated in much the same fashion as morphine worldwide but is a Schedule I controlled substance in the United ... Koopman-Kimenai PM, Vree TB, Booij LH, Dirksen R (Dec 2, 1994). "Rectal administration of nicomorphine in patients improves ...

*Philip H. Sechzer

He was the inventor of patient-controlled analgesia (PCA), now commonly used post-operatively. Sechzer graduated from New ...

*Alejandro R. Jadad Bechara

... double-blind randomised crossover study with patient-controlled analgesia". Lancet. 339: 1367-1371. doi:10.1016/0140-6736(92) ... Randomised Controlled Trials: A user's guide. London: BMJ Publishing Group, 1998 Jadad AR, Enkin MW. Randomized Controlled ... In 2008, inspired by a personal experience as a patient with a potential diagnosis of cancer, Dr. Jadad wondered if it would be ... The neurosurgical patient: anesthetic and intensive care [El paciente neuro-quirurgico: manejo anestesico y de cuidados ...

*You Can Be An Angel 2

This course covers hand hygiene, wound care, CPR, health checkup, CADD pump and Patient-controlled analgesia (PCA). The series ...

*Brachial plexus block

The infusion of local anesthetic can be programmed to be a continuous flow or patient-controlled analgesia. In some cases, ... They described their technique with the patient in the sitting position or in the supine position with a pillow between the ... However it may be associated with a shorter performance time and less procedure-related pain for the patient. The axillary ... Subcutaneous injection of local anesthetic over the medial aspect of the arm in the axilla helps patients tolerate an arm ...

*Anesthesia

... or by the patient using patient-controlled analgesia (PCA). PCA has been shown to provide slightly better pain control and ... "Patient controlled opioid analgesia versus conventional opioid analgesia for controlling postoperative pain". Cochrane Database ... in-patient/out-patient) and the individual patient. Pain management is classified into either pre-emptive or on-demand. On- ... Patients typically wake within minutes of an anesthetic being terminated and regain their senses within hours. One exception is ...

*Eli Alon

Alon's fields of research and investigation are obstetric anesthesia, patient-controlled analgesia, regional anesthesia, and ...

*Acute pancreatitis

Adequate pain control requires the use of intravenous opiates, usually in the form of a patient-controlled analgesia pump. ... Initial management of a patient with acute pancreatitis consists of supportive care with fluid resuscitation, pain control, and ... Opioids are safe and effective at providing pain control in patients with acute pancreatitis. ... of patients in the group subsequently required open antibiotic treatment vs. 46% in the placebo group. In addition, the control ...

*Chest pain in children

"Epidural analgesia versus intravenous patient-controlled analgesia following minimally invasive pectus excavatum repair: a ... Patients who receive a diagnosis of cardiac disease are more apt to have acute pain. This pain often awakes them from sleep or ... Trauma can also be a cause for chest pain and has been found to be associated with the pain in 5% of the patients. Children can ... A small study in Turkey evaluated patients and found that 59% complained of pain that they had had for more than one month in ...

*Dexamethasone

... dexamethasone with ondansetron for nausea and vomiting associated with fentanyl-based intravenous patient-controlled analgesia ... In adrenal insufficiency and Addison's disease, dexamethasone is prescribed when the patient does not respond well to ... of patients) Unknown incidence: Papilloedema Adrenal suppression Growth stunting (in children) Cushing's syndrome Peptic ulcer ... an operation which often leaves the patient with puffy, swollen cheeks. Dexamethasone is commonly given as a treatment for ...

*Methoxyflurane

It was utilized in self-administration devices for obstetric analgesia, in a manner that foreshadowed the patient-controlled ... in a manner that foreshadowed the patient-controlled analgesia infusion pumps of today. The Analgizer inhaler was withdrawn in ... All vital signs remain normal in obstetric patients, newborns, and injured patients. The Analgizer was widely utilized for ... it was easy for patients to self-administer the drug and rapidly achieve a level of conscious analgesia which could be ...

*Fatal Care: Survive in the U.S. Health System

Topics covered include: heparin overdose, misdiagnosis, hospital-acquired infection, patient-controlled analgesia (PCA) pump, ... According to Institute of Medicine (IOM) and Institute for Healthcare Improvement (IHI), as many as 98,000 patient deaths occur ...

*Tramadol

... double-blind study with gynaecological patients using intravenous patient-controlled analgesia". Pain. 62 (3): 313-20. doi: ... "DEA controls tramadol as a schedule IV controlled substance effective August 18, 2014". FDA Law Blog. 2 July 2014. "Federal ... "The effects of tramadol and morphine on immune responses and pain after surgery in cancer patients". Anesthesia & Analgesia. 90 ... Medline Plus - Patient Information Medline Plus (A Service of the U.S. National Library of Medicine) U.S. National Library of ...

*Penthrox inhaler

... in a manner that foreshadowed the patient-controlled analgesia infusion pumps of today. The Analgizer inhaler was withdrawn in ... All vital signs remain normal in obstetric patients, newborns, and injured patients. The Analgizer was widely utilized for ... it was easy for patients to self-administer the drug and rapidly achieve a level of conscious analgesia which could be ... and for dressing changes on burn patients. When used for labor analgesia, the Analgizer allows labor to progress normally and ...

*Management of scoliosis

... and is often administered through a patient-controlled analgesia (PCA) system. The PCA system allows the patient to push a ... If a patient pushes the button too much at once, the PCA will reject the request. For the patient's bladder control, a catheter ... Bowel control can vary from patient to patient. The combination of no food, very little fluids, and a lot of prescription drugs ... Immature patients who present with Cobb angles less than 20 degrees should be closely monitored. Immature patients who present ...

*Post-anesthesia care unit

Preparation and education for the use of patient-controlled analgesia (PCA) units Preparation and administration of intravenous ... Patients may be intubated because of anaphylaxis, pulmonary edema, pneumothorax, or long-term exposure to anesthesia and ... Unless complications occur, most patients will only stay in the PACU for a few hours before returning home or to another ... It is an area, normally attached to operating room suites, designed to provide care for patients recovering from general ...

*Metopon

... and other countries in Continental Europe and the drug is used in Patient Controlled Analgesia pumps for severe chronic pain in ... Metopon is listed under Schedule II of the US Controlled Substances Act 1970, meaning it has an accepted medical use, but at ...

*Pro re nata

... in the case of patient-controlled analgesia), nurse or caregiver, as opposed to medication that is to be taken according to a ... it refers to the administration of prescribed medication whose timing is left to the patient ( ... fixed (usually daily) schedule (a.k.a. "scheduled dosage"). Pro re nata does not imply that the patient may take as much of the ...

*Index of oncology articles

... patient-controlled analgesia - Patient derived tumor xenografts - PCA - PDQ - peau d'orange - PEG-interferon alfa-2a - PEG- ... control animal - control group - controlled clinical trial - controlled study - conventional therapy - conventional treatment ... evaluable patients - everolimus - Ewing's family of tumors - Ewing's sarcoma - exatecan mesylate - excision - excisional biopsy ... historical control subject - HLA - HNPCC - Hodgkin's disease - Hodgkin's lymphoma - holmium Ho 166 DOTMP - homoharringtonine - ...

*Childbirth

A controlled study of 859 patients". L'Encéphale. 28 (1): 65-70. PMID 11963345. Pillitteri, A. (2010). "Chapter 15: Nursing ... Epidural analgesia is a generally safe and effective method of relieving pain in labour, but is associated with longer labour, ... Epidural analgesia has no statistically significant impact on the risk of caesarean section, and does not appear to have an ... Different measures for pain control have varying degrees of success and side effects to the woman and her baby. In some ...
Abstract. Background: This study was investigated the effects of dexmedetomidine in combination with fentanyl-based intravenous patient-controlled analgesia (IV-PCA) on pain attenuation in patients undergoing open gastrectomy in comparison with conventional thoracic epidural patient-controlled analgesia (E-PCA) and IV-PCA.. Methods: One hundred seventy-one patients who planned open gastrectomy were randomly distributed into one of the 3 groups: conventional thoracic E-PCA (E-PCA group, n = 57), dexmedetomidine in combination with fentanyl-based IV-PCA (dIV-PCA group, n = 57), or fentanyl-based IV-PCA only (IV-PCA group, n = 57). The primary outcome was the postoperative pain intensity (numerical rating scale) at 3 hours after surgery, and the secondary outcomes were the number of bolus deliveries and bolus attempts, and the number of patients who required additional rescue analgesics. Mean blood pressure, heart rate, and adverse effects were evaluated as well.. Results: One hundred fifty-three ...
Among nursing parturients after cesarean delivery, intravenous patient-controlled analgesia (PCA) with meperidine is associated with significantly more neonatal neurobehavioral depression than PCA with morphine. A single dose of epidural morphine (4
Patient-Controlled Analgesia Pumps 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. And you can get smaller doses of pain medicine more often. With this type of pain treatment, a needle attached to an IV (intravenous) line is placed into 1 of ...
RATIONALE: Giving pain medication into the space between the wall of the spinal canal and the covering of the spinal cord or giving it into a vein may help lessen pain caused by cancer surgery. It is not yet known whether epidural analgesia is more effective than patient-controlled analgesia in controlling pain in patients who have undergone surgery for gynecologic cancer.. PURPOSE: This randomized clinical trial is studying epidural analgesia to see how well it works compared to patient-controlled analgesia in treating patients who have undergone surgery for gynecologic cancer. ...
RATIONALE: Giving pain medication into the space between the wall of the spinal canal and the covering of the spinal cord or giving it into a vein may help lessen pain caused by cancer surgery. It is not yet known whether epidural analgesia is more effective than patient-controlled analgesia in controlling pain in patients who have undergone surgery for gynecologic cancer.. PURPOSE: This randomized clinical trial is studying epidural analgesia to see how well it works compared to patient-controlled analgesia in treating patients who have undergone surgery for gynecologic cancer. ...
Author: Nguyen-Xuan Tho, Griffiths William, Kern Christian, Van Gessel Elisabeth, Bonnabry Pascal, Year: 2006, Abstract: The objective of this study was to develop a stable intravenous solution of 1-mg/mL morphine sulfate in polypropylene bags for use in patient-controlled analgesia pumps for postoperative pain management. Three large-scale batches of 1-mg/mL morphine sulfate solution filled into polypropylene bags and terminally sterilized at 120°C for 20 minutes were used in this study. The stability of the drug was monitored at 3, 6, 12, 18, 24, and 36 months after preparation in a longterm study (25°C) and aft
Patient-controlled analgesia (PCA) is a type of pain management that allows you to decide when you will get a dose of pain medicine. You dont need to wait for a nurse, and you can get smaller doses of pain medicine more often.
Patient-controlled analgesia (PCA) is a type of pain management that allows you to decide when you will get a dose of pain medicine. You dont need to wait for a nurse, and you can get smaller doses of pain medicine more often.
Problem: After a 72-year-old woman underwent cancer surgery, her surgeon prescribed patient-controlled analgesia (PCA) with a 2-mg morphine loading dose and 1 mg every 10 minutes as needed, for a maximum of 6 mg/hour. Initially, the patient was restless and agitated in the post-anesthesia care unit, but she remained obtunded (not alert) after surgery. Despite her inability to verbalize her pain, nurses pushed the PCA button and delivered frequent doses of morphine over the next 48 hours. Subsequently, the patient suffered a cardio-respiratory arrest and seizure, leading to hypoxic encephalopathy. She died several months later without ever having regained consciousness.. Several safety features exist with PCA to ensure that patients do not receive too much analgesia. These include a lockout interval that specifies the minimum amount of time between each dose and a maximum allowable amount that may be administered during a set time interval. buy kamagra. Another often-overlooked "built-in" safety ...
Free Online Library: Remifentanil patient-controlled analgesia for labour: a complete audit cycle.(Correspondence, Letter to the editor) by Anaesthesia and Intensive Care; Health, general Analgesia Health aspects Usage Evidence-based medicine Practice Labor (Obstetrics) Drug therapy
Information and frequently asked questions about patient-controlled analgesia (PCA), provided by Cincinnati Childrens Hospital Medical Center.
Controlling pain during your recovery is important. PCA allows you to control the amount of pain medication you receive. PCA is short for
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
... (PCA) is any method of allowing a person in pain to administer their own pain relief. Additional
Surgeries accompanied by an extensive tissue trauma are associated with intense postsurgical pain and major perioperative homeostatic disorders. Both hyper-inflammatory and immuneparalytic reactions can be observed, what can negatively effect the postoperative course. To realise an effective and safe analgesia, epidural procedures are used to an increasing degree as an alternative method to the therapy with intravenous opioids. In this prospective, randomized, double-blinded trial we compared the patient-controlled epidural analgesia and the patient-controlled intravenous analgesia with respect to the analgesic efficiency and the influence on the postoperative immune competence. 54 patients received until the morning of the fourth postoperative day either ropivacaine plus sufentanil through an intraoperatively placed epidural catheter (PCEA-group) or intravenous morphine (PCIA-group). Cortisol, populations of leukocytes and lymphocytes, cell-surface molecules of monocytes and the soluble ...
To control pain after surgery, doctors recommend intravenous patient-controlled analgesia, patient-controlled epidural analgesia, nerve blocks or oral pain medications, according to Cleveland Clinic....
All 3 groups had similar values of TUG test on postoperative day (POD) 2 (46 [36-62], 45 [33-61], and 52 [41-69]; P = 0.166) as well as other short-term and 3-month functional outcomes. Patients in group 3 showed a favorable analgesic profile as evidenced by 3 positive secondary outcomes. These positive outcomes were lower pain scores 12 hours postoperatively both at rest (4 [2-6.3], 4 [2.3-6], and 3 [1-4]; P = 0.007) and on movement (6 [4-8], 6 [3-8], and 4 [2-6]; P = 0.002), a lower incidence of "rescue" intravenous patient-controlled analgesia (42%, 34%, and 20%; P = 0.031), and the lowest cumulative opioid requirements for the first 48 hours postoperatively (86 ± 71, 68 ± 46, and 59 ± 39; P , 0.005, group 3 compared with group 1).. CONCLUSIONS ...
PCA-related device events are three times as likely to result in injury or death. As Tim Ritter (Senior Patient Safety Analyst, Pennsylvania Patient Safety Authority) reminds us,
Epidurals are better pain relievers during labor than patient-controlled doses of a fast-acting painkiller called remifentanil, new research suggests. The Dutch
1. How Should Opioids Be Started and Titrated in Routine Outpatient Settings? -- 2. How Should Opioids Be Started and Titrated in Hospital or Inpatient Settings? -- 3. How Should Patient-Controlled Analgesia Be Used in Patients With Serious Illness and Those Experiencing Postoperative Pain? -- 4. How Should Opioids Be Used to Manage Pain Emergencies? -- 5. What Principles Should Guide Oral, Transcutaneous, and Intravenous Opioid Dose Conversions? -- 6. Which Opioids Are Safest and Most Effective in Renal Failure? -- 7. How Should Methadone Be Started and Titrated in Opioid-Naïve and Opioid-Tolerant Patients? -- 8. What Special Considerations Should Guide the Safe Use of Methadone? -- 9. When Should Corticosteroids Be Used to Manage Pain? -- 10. When Should Nonsteroidal Antiinflammatory Drugs Be Used to Manage Pain? -- 11. What Is Neuropathic Pain? How Do Opioids and Nonopioids Compare for Neuropathic Pain Management? -- 12. Should Bisphosphonates Be Used Routinely to Manage Pain and Skeletal ...
1. How Should Opioids Be Started and Titrated in Routine Outpatient Settings? -- 2. How Should Opioids Be Started and Titrated in Hospital or Inpatient Settings? -- 3. How Should Patient-Controlled Analgesia Be Used in Patients With Serious Illness and Those Experiencing Postoperative Pain? -- 4. How Should Opioids Be Used to Manage Pain Emergencies? -- 5. What Principles Should Guide Oral, Transcutaneous, and Intravenous Opioid Dose Conversions? -- 6. Which Opioids Are Safest and Most Effective in Renal Failure? -- 7. How Should Methadone Be Started and Titrated in Opioid-Naïve and Opioid-Tolerant Patients? -- 8. What Special Considerations Should Guide the Safe Use of Methadone? -- 9. When Should Corticosteroids Be Used to Manage Pain? -- 10. When Should Nonsteroidal Antiinflammatory Drugs Be Used to Manage Pain? -- 11. What Is Neuropathic Pain? How Do Opioids and Nonopioids Compare for Neuropathic Pain Management? -- 12. Should Bisphosphonates Be Used Routinely to Manage Pain and Skeletal ...
The complaint continues that in mid afternoon on April 1, 2007, Ms. Stewart told "one or more of the Defendants that her abdominal pain was 8 or higher and her knee pain was 3. The health care provider replied that he was not concerned with her abdominal pain". When a family member asked a nurse to contact a doctor, the nurse informed her ,"…the team responsible for decedents care was aware of the abdominal issues, that the pain was being caused by ileus and that two doctors, Defendants Stuffman and Hamman, had been contacted and they had taken a course of no action other than palliative medical treatment". Despite repeated requests from Ms. Stewart and family members, that she be examined and evaluated by a doctor, they were informed by the nurse … "that their job was to manage the pain and not to do anything else and directed Decedent to use the Patient-Controlled Analgesia or PCA device to administer pain medication". All this time, family members were assured that the "decedent was ...
OTC pain relievers e.g., codeine, psychiatric viagra nhs medicines e.g., amitriptyline, desipramine. Half a second, add a quarter cup of Frosted Shredded Wheat viagra nhs Spoonsize = 4 grams of fiber. Alternative Therapies Patient-controlled analgesia PCA is another option.
Thybo KH, Hägi-Pedersen D, Dahl JB, Wetterslev J, Nersesjan M, Jakobsen JC, Pedersen NA, Overgaard S, Schroder HM, Schmidt H, Bjorck JG, Skovmand K, Frederiksen R, Buus-Nielsen M, Vos Sorensen C, Kruuse LS, Lindholm P, Mathiesen O. Effect of combination of paracetamol (acetaminophen) and ibuprofen vs either alone on patient-controlled morphine consumption in the first 24 hours after total hip arthroplasty. The PANSAID randomized clinical trial. JAMA 2019;321:12 de febrero. [Ref.ID 103023 ...
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Lockout Tagout LOTO Definition - The term lockout tagout (LOTO) refers to a safety procedure that ensures that dangerous machines and energy sources are...
Another day, another day without any developments in the lockout of the NFL officials. Per a source with knowledge of the situation, no negotiations have occurred between the NFL and the NFL Referees Association.
are people just nowfiguring out that i have no interest in talking about things that i agree with everyone on if i wanted to do that there are thousands of threads that i could pollute with quot exactly quot and quot quot yes if im talking about something my opinion is going to be made clear and yes i argue a point that i dont exactly hold in some cases this is probably one of those im not on the players side im definitely against people who are on the owners side though
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The European Survey of Enterprises on New and Emerging Risks (ESENER) asks managers and workers health and safety representatives about how health and safety risks are managed at their workplace, with a particular focus on the newer psychosocial risks, such as work-related stress, violence and harassment. This summary highlights a selection of the main results from a first analysis of the data, which is drawn from 36,000 interviews carried out in 31 countries.
BACKGROUND: The role of electroacupuncture in postthoracotomy pain control is uncertain. We conducted a pilot study to evaluate the role of electroacupuncture in the management of early postthoracotomy wound pain. METHODS: A total of 27 patients with operable non-small cell lung carcinoma who received thoracotomy were recruited and randomized to receive either electroacupuncture or sham acupuncture in addition to routine oral analgesics and patient-controlled intravenous analgesia for postoperative pain control. All patients received acupuncture twice daily with visual analog pain score recorded for the first 7 postoperative days. Specific chest acupoints (LI 4, GB 34, GB 36, and TE 8) were targeted. Patient-controlled analgesia was used for the first 3 postoperative days in all patients, and the cumulative dosage used was recorded. RESULTS: Two patients were excluded after randomization because of complications unrelated to acupuncture. Interventions and data collection were completed for the ...
PATIENT CARE: The patient is prepared for surgery according to protocol. Aspirin or other medications that may cause postoperative hemorrhage are withheld. The patient and family are assured that, in most instances, the body will adapt to functioning with only one kidney. Postoperatively, vital signs are checked frequently; analgesics are administered (often by intravenous or epidural patient-controlled analgesia); and excessive bleeding is reported. Dressings are changed according to the surgeons directions or agency protocol. Fluid intake and output, body weight, and electrolytes are carefully monitored. Hemodynamics are monitored closely; the patient is assessed for evidence of postoperative complications such as stroke, myocardial infarction, pneumonia, or atelectasis. The patient is encouraged to breathe deeply (using incentive spirometry) and to cough to prevent atelectasis and other pulmonary complications. Oral hygiene is provided, and early fluid and food intake encouraged. ...
A loading dose is an optional clinician bolus given postoperatively or during a pain crisis to bring the pain down to a manageable level. A loading dose may be larger than subsequent on-demand bolus doses such as morphine 2.5 mg, hydromorphone 0.4 mg, or fentanyl 25 mcg.12. A bolus dose should provide clinically significant analgesia, but it should not exceed accepted starting doses if the patient is opioid-naïve. There is no validated method of anticipating opioid requirements in opioid-naïve patients, so close follow-up is essential to determine whether dose titration is necessary. Elderly patients generally require a lower dose of opioid and are at greater risk for respiratory depression compared with younger patients, so they should initially receive conservative starting doses.13 Accepted starting bolus doses include morphine 1 mg, hydromorphone 0.2 mg, and fentanyl 20 mcg.12 One of the main advantages of on-demand bolus doses is that some degree of safety is afforded by a negative ...
In 1968, Robert Wexler of Abbott Laboratories developed the Analgizer, a disposable inhaler that allowed the self-administration of methoxyflurane vapor in air for analgesia.[9] The Analgizer consisted of a polyethylene cylinder 5 inches long and 1 inch in diameter with a 1 inch long mouthpiece. The device contained a rolled wick of polypropylene felt which held 15 milliliters of methoxyflurane. Because of the simplicity of the Analgizer and the pharmacological characteristics of methoxyflurane, it was easy for patients to self-administer the drug and rapidly achieve a level of conscious analgesia which could be maintained and adjusted as necessary over a period of time lasting from a few minutes to several hours. The 15 milliliter supply of methoxyflurane would typically last for two to three hours, during which time the user would often be partly amnesic to the sense of pain; the device could be refilled if necessary.[10] The Analgizer was found to be safe, effective, and simple to administer ...
In 1968, Robert Wexler of Abbott Laboratories developed the Analgizer, a disposable inhaler that allowed the self-administration of methoxyflurane vapor in air for analgesia.[9] The Analgizer consisted of a polyethylene cylinder 5 inches long and 1 inch in diameter with a 1 inch long mouthpiece. The device contained a rolled wick of polypropylene felt which held 15 milliliters of methoxyflurane. Because of the simplicity of the Analgizer and the pharmacological characteristics of methoxyflurane, it was easy for patients to self-administer the drug and rapidly achieve a level of conscious analgesia which could be maintained and adjusted as necessary over a period of time lasting from a few minutes to several hours. The 15 milliliter supply of methoxyflurane would typically last for two to three hours, during which time the user would often be partly amnesic to the sense of pain; the device could be refilled if necessary.[10] The Analgizer was found to be safe, effective, and simple to administer ...
In a study to be presented on Feb. 7 at the Society for Maternal-Fetal Medicines annual meeting, The Pregnancy Meeting, in New Orleans, researchers will report findings which suggest remifentanil patient controlled analgesia ...
BACKGROUND: To study the influence of postoperative analgesia on morbidity and mortality after esophagectomy. METHODS: The outcomes of 578 patients who underwent one-stage resection between 1986 and 1995 were analyzed. Patients who received either epidural morphine, patient-controlled analgesia, or continuous intravenous morphine infusion supervised by an anesthesiology-based acute pain service (group APS, n = 299) were compared with those for whom conventional intramuscular meperidine injections were used (group CON, n = 279). RESULTS: For patients who underwent transthoracic esophagectomy, group APS (n = 226) had a lower incidence of pulmonary complications (13% versus 25%, P = 0.002), cardiovascular complications (21% versus 43%, P < 0.001), and hospital mortality (6% versus 14%, P = 0.038) when compared with group CON (n = 189). No similar difference was demonstrated in patients who underwent esophagectomy without thoracotomy. The hospital stay (days) was shorter in group APS than in group ...
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Definition of patient-controlled anesthesia. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and definitions.
Methods Forty women undergoing elective laparoscopic radical hysterectomy for cervical cancer were allocated to this prospective, randomized, double-blind trial. Before inducing anesthesia, 2 mg morphine dissolved in 15 mL of 1% lidocaine (preemptive group) or the same volume of normal saline (control group) was administered into the epidural space through a prepared catheter in a double-blind manner, using sealed syringes. After peritoneal closure, the other drugs in the remaining sealed syringe were administered in the reverse manner. All patients were then administered lidocaine plus morphine over a 72-hour period, using a patient-controlled epidural analgesia pump ...
BACKGROUND: This study was designed to compare the efficacy of prophylactic ramosetron and ondansetron in preventing postoperative vomiting in children who received fentanyl by patient-controlled analgesia after orthopedic surgery. METHODS: Two hundr
HSCT or H&NRT. We reviewed 20 studies examining We reviewed 3 discrete studies testing zinc supplementa- the use of the mucosal coating agent sucralfate in various tion in patients receiving H&NRT, all of which found a settings. The evidence supported recommendations positive effect. A new suggestion was developed in favor of against the use of sucralfate for the prevention or treat- zinc in patients with oral cancer undergoing RT or che- ment of oral mucositis in patients receiving chemotherapy moradiation.36,37 However, there is some evidence indi- and also in patients receiving H&NRT. No guideline was cating that the use of antioxidants in smokers during possible for any anesthetic agent reviewed due to inad- H&NRT may reduce the efficacy of the RT.38 The evi- equate evidence. Guidelines were developed in favor of dence reviewed supported the continuation of a recom- the use of patient-controlled analgesia with morphine, mendation against the use of intravenous glutamine for transdermal ...
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The NFL lockout has produced all sorts of crazy rumors in the past week, but heres a doozy for you. The pregnant wife of an NFL player allegedly...
Here we are, just about three weeks before the September 15th expiration of the NHL s collective bargaining agreement. If you listen to the Canadian press and the hockey media all across North America, an owner lockout is almost a guarantee...
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The NBA lockout is preventing teams from engaging in a high-priced summer of free agency. Thats bad news for those who thrived in their contract years and expected big money this June...
The NHL has made a new proposal to the NHL Players Association with time ticking toward a canceled season, according to an unidentified player cited by Pierre LeBrun of ESPN.com. The player said that the league made a new offer to the NHLPA on Thursday, one which moved on the term limit for player
A Govt report shows India lost 13.75 mn man-days and Rs 181.82 cr as production-linked losses in Jan-Sept 06, reports Sutirtho Patranobis.
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Tliba, O., Damera, G., Banerjee, A., Gu, S., Baidouri, H., Keslacy, S. and Amrani, Y. (2008) Cytokines induce an early steroid resistance in airway smooth muscle cells Novel role of interferon regulatory factor-1. American Journal of Respiratory Cell and Molecular Biology, 38, 463-472. Epub 18 October 2007. doi10.1165/rcmb.2007-0226OC
Background: Paracetamol is widely used for postoperative analgesia. The effect is well documented in minor and moderate extensive surgery, but the effect of paracetamol as an adjunct to opioids in major abdominal surgery is less examined.. Methods: Seventy-eight patients scheduled for elective, benign, and abdominal hysterectomy were included in a prospective, randomized, double-blind, parallel group, placebo-controlled study to evaluate the effect of rectal paracetamol in conjunction with intravenous patient-controlled analgesia (PCA) morphine. Paracetamol 1000 mg or placebo suppositories were given four times daily during the 60-h study period. I.V. morphine was administered via a PCA pump, limited to maximum of 12 mg h−1. Morphine consumption, pain and morphine-related adverse effects were recorded. A single-point analysis was comprised of serum concentrations of paracetamol and morphine.. Results: Sixty patients were evaluated: 30 in each group. A 16.6% reduction in overall-accumulated ...
In the first real-world trial of the impact of patient-controlled access to electronic health records, almost half of the patients who participated withheld clinically sensitive information in their medical record from some or all of their health care providers.. Should patients control who can see specific information in their electronic medical records? How much control should they have? Can doctors and other clinicians provide safe, high-quality care when a patients preference may deny members of the medical team from seeing portions of the electronic medical record? What is the appropriate balance between individual privacy concerns and health care providers need for relevant data?. The Regenstrief Institute, Indiana University School of Medicine and Eskenazi Health (formerly Wishard Health Services) partnered to design and conduct the first real-world trial intended to help answer these and related questions. During the six-month trial, 105 patients in an Eskenazi Health primary care ...
Sustained-release morphine sulfate (SRMS) is a painkiller used in oncology. The purpose of our study was to assess its efficacy on postoperative morphine requirements in elective spine surgery. This was a placebo-controlled, randomized, double-blind study. Adults scheduled for spine surgery under general anesthesia were orally administered SRMS (30 mg) or a placebo 2 h before surgery. Primary endpoint was postoperative cumulated morphine consumption through patient-controlled analgesia (PCA) during the 12 h following extubation. Statistical analysis was performed using a sequential method, the triangular test. The study was stopped after the sixth analysis (51 patients had been included; placebo: 26, SRMS: 25). Age, weight, sex ratio, type of surgery, intra-operative sufentanil consumption, anesthesia duration and time to extubation were similar in the two groups. Morphine consumption through PCA during the 12 h following extubation was significantly lower in the SRMS group (mean +/- SD: 10.5 ...
We identified six outbreaks over a ten year period beginning in 2004; all occurred in hospital settings. Implicated healthcare professionals included three technicians and three nurses; one of whom was a nurse anesthetist. The mechanism by which infections were spread was tampering with injectable controlled substances. Two outbreaks involved tampering with opioids administered via patient-controlled analgesia pumps and resulted in gram-negative bacteremia in 34 patients. The remaining four outbreaks involved tampering with syringes or vials containing fentanyl; hepatitis C virus (HCV) infection was transmitted to 84 patients. In each of these outbreaks the implicated healthcare professional was infected with HCV and served as the source; nearly 30,000 patients were potentially exposed to bloodborne pathogens and targeted for notification advising testing ...
A post-anesthesia care unit, often abbreviated PACU and sometimes referred to as post-anesthesia recovery or PAR, is a vital part of hospitals, ambulatory care centers, and other medical facilities. It is an area, normally attached to operating room suites, designed to provide care for patients recovering from general anesthesia, regional anesthesia, or local anesthesia. The basic responsibilities of PACU staff include: airway management and oxygen administration for patients who have undergone general anesthesia monitoring vital signs (heart rate, blood pressure, temperature, and respiratory rate) managing postoperative pain treating postoperative nausea and vomiting treating postanesthetic shivering monitoring surgical sites for excessive bleeding, mucopurulent discharge, swelling, hematomas, wound healing, and infection More intensive care may include: Preparation and education for the use of patient-controlled analgesia (PCA) units Preparation and administration of intravenous, epidural, or ...
for review. The Companys follow on product, ZALVISO® (sufentanil sublingual tablet system), designed for the management of moderate-to-severe acute pain in adult patients in the hospital setting, is currently enrolling patients in a Phase 3 clinical trial, IAP312. ZALVISO delivers 15 mcg sufentanil sublingually through a non-invasive delivery route via a pre-programmed, patient-controlled analgesia device. ZALVISO is approved in the EU and is investigational and in late-stage development in the U.S ...
Drs. Steven Zielinski, Jeffrey Klopfenstein & more: 5 spine, neurosurgeons in the headlines , 3 latest healthcare layoffs , SI-BONE, Stryker, Centinel Spine & more: 19 key notes , Which anesthesia method is superior following ACDF? 5 insights comparing multimodal and patient-controlled analgesia ...
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MSG today reported Q3 financial results, highlighted by its net income increasing 24% to $38.4M from the year-ago period. Revenue during the quarter ended March 31 grew 3% to $412.4M, primarily due to an increase in revenues in the MSG Media segment and partially offset by a decrease in re
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Authors: Jessica Booth, M.D. et al. Anesthesiology 7 2017, Vol.127, 50-57.. Background: The addition of opioids to epidural local anesthetic reduces local anesthetic consumption by 20% but at the expense of side effects and time spent for regulatory compliance paperwork. Epidural neostigmine also reduces local anesthetic use. The authors hypothesized that epidural bupivacaine with neostigmine would decrease total hourly bupivacaine use compared with epidural bupivacaine with fentanyl for patient-controlled epidural analgesia.. Methods: A total of 215 American Society of Anesthesiologists physical status II, laboring parturients requesting labor epidural analgesia consented to the study and were randomized to receive 0.125% bupivacaine with the addition of either fentanyl (2 μg/ml) or neostigmine (2, 4, or 8 μg/ml). The primary outcome was total hourly local anesthetic consumption, defined as total patient-controlled epidural analgesia use and top-ups (expressed as milliliters of 0.125% ...
Aim Epidural analgesia reduces the surgical stress response. However, its effect on pro- and anti-inflammatory cytokines in the genesis of inflammation following major abdominal surgery remains unclear. Our main objective was to elucidate whether perioperative epidural analgesia prevents the inflammatory response following colorectal cancer surgery. Methods Ninety-six patients scheduled for open or laparoscopic surgery were randomized to epidural analgesia (group E) or patient-controlled intravenous analgesia (group P). Surgery and anaesthesia were standardized in both groups. Plasma cortisol, insulin and serum cytokines [interleukin 1 beta (IL-1 beta), IL-4, IL-5, IL-6, IL-8, IL-10, IL-12p70, IL-13, tumour necrosis factor , interferon , granulocyte-macrophage colony-stimulating factor, prostaglandin E-2 and vascular endothelial growth factor] were measured preoperatively (T0), 1-6h postoperatively (T1) and 3-5days postoperatively (T2). Mixed model analysis was used, after logarithmic ...
The patients involved in this study received effective multimodal analgesia, which included effective continuous epidural infusion, yet the title and abstract only mention the single-injection femoral nerve block (FNB) or adductor canal nerve block (ACB). The patient-controlled epidural analgesia contained 10 μg/ml hydromorphone combined with 0.06% bupivacaine set at 4 ml/h continuous infusion with 4 ml of patient-controlled boluses on demand every 10 min on the day of surgery (postoperative day 0 [POD 0]). This was reduced to 2 ml/h the next morning (POD 1), and continuous infusion was stopped at 5:00 pm that day (POD 1); however, the patient-administered boluses were not decreased, therefore the patients could still receive a total patient-controlled epidural analgesia infusion of up to 20 ml/h after the continuous infusion was stopped late on POD 1. Added to oxycodone/acetaminophen (5/325 mg) every 4 h and daily 7.5 to 15 mg meloxicam, this in and of itself represents an effective multimodal ...
Methods: Fifty patients undergoing total knee arthroplasty were randomly assigned to receive ultrasound-guided CFNB either with the catheter parallel to the nerve technique (parallel group, n = 25) or with the catheter perpendicular to the nerve technique (perpendicular group, n = 25). Patient-controlled morphine analgesia pumps were available to all the patients after surgery. The time of catheter insertion, failure rates, pain scores, morphine consumption, nausea and vomiting, and maximal degree of knee flexion were recorded. ...
BACKGROUND: Clonidine is an alpha(2) adrenoreceptor and imidazoline receptor agonist, which has analgesic, sedative, and minimum alveolar anesthetic concentration-sparing effects. It has been used orally, IV, and epidurally. In spinal surgery, there is a reluctance to use local anesthetic-based epidural analgesia postoperatively because of fears of masking important signs of nerve root or spinal cord injury. METHODS: We randomized 66 patients undergoing uncomplicated decompressive spinal surgery to receive an epidural infusion of either clonidine (Group C) or saline placebo (Group P) postoperatively. Morphine consumption by patient-controlled analgesia device was recorded for 36 h. RESULTS: Morphine consumption was significantly lower in Group C. The mean consumption at 36 h was 35 mg (95% confidence interval 21-50 mg) in Group C, compared with 61 mg (95% confidence interval 48-74 mg) in the control group. Nausea was significantly reduced in Group C (6.5%), when compared with placebo (38.2%). CONCLUSION
METHODS: A retrospective cohort study was conducted to evaluate patient outcomes following liposomal bupivacaine and elastomeric bupivacaine pump use from January through June 2013. The primary objective of the study was to evaluate 24-hour postoperative opioid use (in morphine equivalents).. RESULTS: Sixty-seven liposomal bupivacaine and 262 elastomeric bupivacaine pump patients were included. Significant between-group differences were seen in American Society of Anesthesiologists physical status, patient-controlled analgesia use, postoperative nonopioid use, and surgical procedure. On univariate analysis, liposomal bupivacaine-in comparison with elastomeric bupivacaine pump -was associated with reduced median (interquartile range, IQR) 24-hour postoperative opioid use (33.0 mg morphine equivalents [IQR, 19.0-80.4 mg morphine equivalents] versus 70.4 mg morphine equivalents [IQR, 37.1-115.4 mg morphine equivalents], p , 0.001) and median 72-hour postoperative opioid use (61.3 mg morphine ...
Author: Ralphs-J-A. Williams-A-C. Richardson-P-H. Pither-C-E. Nicholas-M-K. Title: Opiate reduction in chronic pain patients: a comparison of patient-controlled reduction and staff controlled cocktail methods. Source: Pain. 1994 Mar. 56(3). P 279-88. Journal Title: PAIN. Abstract: This study compares the effectiveness of two methods of opiate reduction in 108 chronic pain patients during a 4 week inpatient pain management programme, and at 1-month and 6-month follow-up. Patients chose either the patient-controlled reduction (PCR) or cocktail reduction method, aiming to complete withdrawal by discharge. Use of opiates and other drugs was recorded, and psychological measures taken, at admission, at discharge, and at follow-ups. Patients who opted for the cocktail reduction method started at higher morphine equivalents (P , 0.001), were less confident in their ability to cope without medication (P , 0.05), and rated their everyday activities a more disrupted by pain (P , 0.05). At discharge, 89% of ...
The Companys follow on product candidate, ZALVISO® (sufentanil sublingual tablet system), designed for the management of moderate-to-severe acute pain in adult patients in the hospital setting, is currently enrolling patients in a Phase 3 clinical trial, IAP312. ZALVISO delivers 15 mcg sufentanil sublingually through a non-invasive delivery route via a pre-programmed, patient-controlled analgesia device. ZALVISO is approved in the EU for the management of acute postoperative pain in a hospital setting and is investigational and in late-stage development in the U.S ...
Based on sample size calculations for primary outcome, we plan to enrol 120 participants. Adult patients without significant medical comorbidities or ongoing opioid use and who are undergoing laparoscopic colorectal surgery will be enrolled. Participants are randomly assigned to receive either VVZ-149 with intravenous (IV) hydromorphone patient-controlled analgesia (PCA) or the control intervention (IV PCA alone) in the postoperative period. The primary outcome is the Sum of Pain Intensity Difference over 8 hours (SPID-8 postdose). Participants receive VVZ-149 for 8 hours postoperatively to the primary study end point, after which they continue to be assessed for up to 24 hours. We measure opioid consumption, record pain intensity and pain relief, and evaluate the number of rescue doses and requests for opioid. To assess safety, we record sedation, nausea and vomiting, respiratory depression, laboratory tests and ECG readings after study drug administration. We evaluate for possible confounders ...
In this systematic review and meta-analysis of 33 studies, we identified nine preoperative predictors that were negatively associated with pain control after surgery: young age, female sex, smoking, history of depressive symptoms, history of anxiety symptoms, sleep difficulties, higher BMI, presence of preoperative pain and use of preoperative analgesia. The most well-studied predictors were female sex (number of studies, n=20), young age (n=14) and the presence of preoperative pain (n=13). The strongest negative prognostic factors were a history of sleeping difficulties (number of studies, n=2) and depression (n=8), which were independently associated with approximately twofold higher odds of poor postoperative pain control. Our findings are consistent with and extend the results of the previous systematic review by Ip et al.20 In addition to the predictors previously described, we identified six additional preoperative predictors of poor postoperative pain control.20. Previous reports have ...
Author: Golinski-M-A. Fill-D-M. Title: Preemptive analgesia. Source: CRNA. 1995 Feb. 6(1). P 16-20. Journal Title: CRNA. Abstract: Preemptive analgesia describes a situation where the administration of a pharmacological agent administered before the onset of a painful stimulus causes a decrease in the intensity of pain felt, and subsequently there is a decrease in the total amount of analgesic required compared with the administration of an agent after a painful stimulus. It is best understood if it is thought of as a block to afferent impulses that are trying to reach the central nervous system before a tissue injury. Preemptive analgesia, administered in the form of narcotics, nonsteroidal antiinflammatory agents, or local anesthetics, is thought to alter peripheral and central sensitization to nociceptive impulses. ...
Multimodal pain management is the use of combinations of medications from different classes or medications with different routes of delivery to optimize pain relief. The adjunctive use of multiple analgesic agents is associated with better pain relief and fewer adverse effects. Intravenous acetaminophen offers a relatively low risk, safe adjunct to multimodal therapy. A comparative retrospective chart review showed that adult patients undergoing laparoscopic appendectomy or cholecystectomy surgery who received intravenous acetaminophen in the operating room had a reduced opioid requirement directly after surgery, in the post anesthesia care unit. A total of 34 doses of opioids (Fentanyl and Dilaudid) were given to the group who received the intravenous acetaminophen as compared to 65 doses of the same opioids given to the group that did not. Since only two surgical procedures were studied, the results may not be applicable to other surgical procedures. Additionally, the small sample size (60 patient
Multimodal pain management is the use of combinations of medications from different classes or medications with different routes of delivery to optimize pain relief. The adjunctive use of multiple analgesic agents is associated with better pain relief and fewer adverse effects. Intravenous acetaminophen offers a relatively low risk, safe adjunct to multimodal therapy. A comparative retrospective chart review showed that adult patients undergoing laparoscopic appendectomy or cholecystectomy surgery who received intravenous acetaminophen in the operating room had a reduced opioid requirement directly after surgery, in the post anesthesia care unit. A total of 34 doses of opioids (Fentanyl and Dilaudid) were given to the group who received the intravenous acetaminophen as compared to 65 doses of the same opioids given to the group that did not. Since only two surgical procedures were studied, the results may not be applicable to other surgical procedures. Additionally, the small sample size (60 patient
Global postoperative pain management market anticipated to witness significant growth in the near future, owing to increasing adoption of opioids and analgesics for relief from post-surgery pain
A device and method are disclosed for treating chronic pain by delivering electrical stimulation to nervous tissue or smooth muscle fibers by means of electrodes disposed in the bodys lymphatic system. An implanted pulse generator is connected to an electrode by a lead that may be intravenously introduced into the lymphatic system. The stimulation may be patient-controlled or be delivered in accordance with a programmed schedule.
Dr. Agarwal responded: To keep bacteria out. Anything that will be entering your body should be as sterile as possible. Pca |a href="/topics/morphine" track_data="{
Consider your ol pal Wanye the Ricky Bobby of business. Dimwitted, loud and always wanting to go faster. There can only be one direction: forward. And one speed: faster. And anyone or anything that gets in the way of that gets run over 100 times out of 100.. With this here lockout we cant go faster. We have hit a wall personally and so we have come up with a new plan here too. As some of you know we recently went to Nerd Camp in Palo Alto a few months back. We saw what the Big Leagues looked like for one glorious summer and want to be back there in the worst way. This Lockout has put a lid on Plan A and so we will switch to plan B.. And so we will begin building a whole new company - something we have wanted to build for a long time and what we would consider to be our best idea ever. It will be an immense amount of work, there is a 1% chance of success, the pay is literally $1 per year and it will involve shuttling back and forth between San Francisco and Edmonton for the forseeable future ...
The headlines have looked the same for months now. And many of you have probably ignored them. I dont blame you. - Sheil Kapadia, Philadelphia Philly.com
இப்பக்கம் கடைசியாக 25 ஏப்ரல் 2017, 04:22 மணிக்குத் திருத்தப்பட்டது ...
A laparoscopic approach is now considered the gold standard in colorectal resection for benign and malignant disease [1]. Laparoscopic surgery is associated with a significant reduction in postoperative pain and opioid consumption, lower morbidity, faster recovery and shorter hospital stay [1]. However, strategies for postoperative pain management after laparoscopic surgery are mainly derived from concepts that have been established for open surgical procedures [2]. As such, patient-controlled epidural and intravenous analgesia are still the most frequently used techniques for postoperative analgesia after laparoscopic colorectal surgery [3]. Epidural analgesia (EA) is known to provide excellent pain control; however, the role of EA in laparoscopic surgery is increasingly being scrutinized [1]. Following laparoscopic colorectal surgery, the use of EA has been shown to result in a prolonged time to mobilization, an increase in hospital costs, length of hospital stay and a higher incidence of ...
To the Editor:. We read with interest the report of Frolich and colleagues (1) of opioid toxicity in a patient with a 3-day-old transdermal fentanyl patch in situ, undergoing surgery under lumbar epidural anesthesia and IV propofol. The opioid toxicity was related temporally to the use of a body-warming blanket to correct intraoperative hypothermia. In our study of the perioperative pharmacokinetics of transdermal fentanyl, we found that two elderly patients experienced marked respiratory depression that persisted after fentanyl patch removal. In one of these patients, plasma fentanyl concentrations were high (2.22 ng · mL− 1), and in the other, plasma concentrations were low (0.645 ng · mL− 1), but the patient had required relatively large amounts of morphine via a patient-controlled analgesia device (2). Neither of these patients was being rewarmed, but reported our concerns that transdermal absorption was variable in the perioperative period, owing to variations in cutaneous blood flow ...
Total Abdominal Hysterectomy. In: Zollinger RM, Jr, Ellison E, Bitans M, Smith J. Zollinger R.M., Jr, Ellison E, Bitans M, Smith J Eds. Robert M. Zollinger, Jr, et al.eds. Zollingers Atlas of Surgical Operations New York, NY: McGraw-Hill; 2011. http://accesssurgery.mhmedical.com/content.aspx?bookid=430§ionid=42074642. Accessed February 21, 2018 ...
This trial will compare the efficacy of epidural administered levobupivacaine [Chirocaine] + sufentanil [fentatienil] with intravenously administered morphine
Roopacherra tea estate in South Assam has been under lockout for nearly month after the executives abandoned it. Leading to the death of a three-year-old girl, Shivani Kalindi and two workers, Yogendra Kalindi, 22, and Manorama Dev, 60, according the workers panchayat (council). Shivani had been taken to the garden hospital on Tuesday evening, but no doctor was available. "Even electricity to the healthcare centre had been cut off," a union member said.. After the death of the girl, workers defied the lockout and began picking and selling leaf to other factories for their survival. The Katlicherra police have registered a case against the "absconding" tea executives and a fact-finding team has been set up to look into the deaths by the Hailakandi administration. Some food was given by the local administration after a hunger strike by a large group of women workers.. Dilip Singh, president of the garden panchayat, claimed that the out-of-work labour force was scavenging for roots and tubers of ...
Drug delivery systems have rapidly evolved with new technologies that support home use and can aid in patient compliance, adherence and safety. Two areas of recent innovation, in particular, are helping pharmaceutical companies meet new market demands for self-care at home: patient-controlled delivery systems and wearable injectors. Alagu Subramaniam, Managing Director, India, West Pharmaceutical Packaging India Private Limited shares his views on evolution of drug delivery system for better patient safety
BACKGROUND: Ritonavir inhibition of cytochrome P450 3A4 decreases the elimination clearance of fentanyl by 67%. We used a pharmacokinetic model developed from published data to simulate the effect of sample patient-controlled epidural labor analgesic regimens on plasma fentanyl concentrations in the absence and presence of ritonavir-induced cytochrome P450 3A4 inhibition. METHODS: Fentanyl absorption from the epidural space was modeled using tanks-in-series delay elements. Systemic fentanyl disposition was described using a three-compartment pharmacokinetic model. Parameters for epidural drug absorption were estimated by fitting the model to reported plasma fentanyl concentrations measured after epidural administration. The validity of the model was assessed by comparing predicted plasma concentrations after epidural administration to published data. The effect of ritonavir was modeled as a 67% decrease in fentanyl elimination clearance. Plasma fentanyl concentrations were simulated for six ...
National surveys continue to document the undertreatment of acute postoperative pain, despite the availability of evidence-based, clinical practice guidelines and the Joint Commission on Accreditation of Healthcare Organizations standards. This article surveys factors that contribute to persistent gaps during the acute pain management process, including deficiencies in providing continuous analgesia, disparities in access to medical care, the acute pain medicine culture itself, a lack of adequate pain assessment, health care provider biases, and limited health care resources. The role of technology in increasing patients control over their own pain management and narrowing these gaps is discussed. Patient-controlled analgesia delivery systems are an example of such technology, and they play a key role in improving the quality of acute pain management and increasing the patients involvement in this process. However, the use of these systems may be limited because of the amount of health care resources
Effect of Epidural Analgesia on Some Maternal and Fetal Parameters in Pre-Eclampsia. M.Yousri Amin, A.Salam, M.Metwally : Alexandria University , EGYPT. continuous Epidural Analgesia (EA) during labor of pre-eclamptic (P-E) patients has been recommended by several authors. Belief in improved renal function via relief of renal vasospasm, control of blood pressure, excellent analgesia and less infant depression form the basis of such recommendation.In opposition, many clinician consider conduction analgesia to be not recommended in P-E because of deceased blood volume might make them more vulnerable to hypotension.In this study we investigated the effect of continuous EA on maternal hemodynamics, renal function, and acid base balance in P-E , also, its effect on fetal heart rate(FHR) during labor.Patients and methods:Twenty P-E parturient were prepared for labor induction. Central venous catheter was placed via subclavian, lumbar epidural catheter was placed. 10 ml of 0.5% bupivacaine were ...
BACKGROUND: Etoricoxib is a selective cyclo-oxygenase-2 (COX-2) inhibitor prescribed for the relief of chronic pain in osteoarthritis and rheumatoid arthritis, and acute pain. The drug is believed to be associated with fewer upper gastrointestinal adverse effects than conventional non-steroidal anti-inflammatory drugs (NSAIDs). A number of studies in acute postoperative pain have now been published. OBJECTIVES: To assess the analgesic efficacy and adverse effects of a single oral dose of etoricoxib for moderate to severe postoperative pain. SEARCH STRATEGY: We searched Cochrane CENTRAL, MEDLINE, EMBASE, and the Oxford Pain Database, and reference lists of articles. Date of the most recent search: December 2008. SELECTION CRITERIA: Randomised, double-blind, placebo-controlled clinical trials of single dose, oral etoricoxib for acute postoperative pain in adults. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion in the review and quality, and extracted data. The
The reasons that gastrectomy was performed were adenocarcinoma in 41 cases, benign disease in three cases and gastrointestinal stromal tumor in one case, and the types of surgery were distal gastrectomy (40), total gastrectomy (four) and pylorus-preserving gastrectomy (one). Among the distal gastrectomies, Billroth I (25) was the most frequent procedure, followed by uncut Roux-en-Y gastrojejunostomy (14) and Billroth II (one), respectively. The mean operation time was 314 minutes, the mean anastomotic time was 41 minutes, the mean number of staples used was eight, and the mean estimated blood loss was 150 ml. There was no case of conversion to an open procedure. The first flatus was observed at 2.9 days, and liquid diet was started at 3.7 days. The mean number of postoperative analgesic use, except for patient-controlled analgesia (PCA), was 1.4 times, and the mean postoperative hospital stay was 11 days. Postoperative complication occurred in six patients (13.3 %), but no postoperative ...

Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late...Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late...

The groups were made up of patients who had similar clinical and demographic characteristics. While there were no statistically ... However, switching to open surgery as well as increase of complications in patients who admitted with severe inflammation ... RESULTS: we retrospectively reviewed the files of totally 66 patients in whom we performed early cholecystectomy (within the ... Moreover, more complications were seen in the patients who underwent early cholecystectomy although the difference was not ...
more infohttp://www.panafrican-med-journal.com/content/article/26/49/full/

Patient-controlled analgesia - WikipediaPatient-controlled analgesia - Wikipedia

Patient-controlled analgesia. A patient-controlled analgesia infusion pump, configured for epidural administration of fentanyl ... Patient-controlled epidural analgesia (PCEA) is a related term describing the patient-controlled administration of analgesic ... A patient-controlled analgesia infusion pump, configured for intravenous administration of morphine for postoperative analgesia ... Patient-controlled analgesia (PCA[1]) is any method of allowing a person in pain to administer their own pain relief.[2] The ...
more infohttps://en.wikipedia.org/wiki/Patient-controlled_analgesia

Patient-controlled Analgesia | Encyclopedia.comPatient-controlled Analgesia | Encyclopedia.com

Definition Patient-controlled analgesia (PCA) is a means for the patient to self-administer analgesics (pain medications) ... Patient-controlled analgesia. Definition. Patient-controlled analgesia (PCA) is a means for the patient to self-administer ... Patient-Controlled Analgesia. Definition. Patient-controlled analgesia (PCA) is a system of providing pain medication that ... Patient-controlled analgesia. Definition. Patient-controlled analgesia (PCA) is a system of providing pain medication that ...
more infohttps://www.encyclopedia.com/medicine/divisions-diagnostics-and-procedures/medicine/patient-controlled-analgesia

Patient Controlled Analgesia (PCA) FAQsPatient Controlled Analgesia (PCA) FAQ's

Patient Controlled Analgesia (PCA) FAQs Patient Controlled Analgesia (PCA) means that you will have some control of your pain ... The pump has safeguards that will not give you more medicine than is percribed and is very safe as long as only the patient ... If you do the doctor can give you another medicine that will control the sick feeling or itching. Tell you nurse right away ... Clinical trial testing vitamin and steroid combination in sepsis patients underway at Emory. October 08, 2018 ...
more infohttps://www.emoryhealthcare.org/pain-management/wellness/pca-faq.html

Patient-controlled analgesia | Childrens Education MaterialsPatient-controlled analgesia | Children's Education Materials

Patient-controlled analgesia. What is patient-controlled analgesia (PCA)?. Analgesia means pain relief. Through the use of the ... Start a patient referral, request a consultation or second opinion.. Call 612-343-2121 or 1-866-755-2121 ... We depend upon the generosity of people like you to help us improve pediatric health and enhance the patient care experience. ... Studies have shown that children can be kept very comfortable when they control their own pain relief. ...
more infohttps://www.childrensmn.org/educationmaterials/childrensmn/article/15704/patient-controlled-analgesia/

Pearls and Pitfalls of Patient-Controlled AnalgesiaPearls and Pitfalls of Patient-Controlled Analgesia

A comparison of variable-dose patient-controlled analgesia with fixed-dose patient-controlled analgesia. Anesth Analg. 1996;83: ... Use of patient-controlled analgesia for pain control for children receiving bone marrow transplant. J Pain Symptom Manage. 1995 ... Postoperative patient-controlled analgesia: meta-analyses of initial randomized control trials. J Clin Anesth. 1993;5:182-193. ... Patient-controlled analgesia (PCA) refers to the delivery of analgesics immediately upon patient demand. The most commonly ...
more infohttps://www.uspharmacist.com/article/pearls-and-pitfalls-of-patientcontrolled-analgesia

Patient Controlled AnalgesiaPatient Controlled Analgesia

Ed Gentile, has created a simple path to optimal acute pain control in the ED. I heard this lecture on the EM:RAP podcast and ... Patient Controlled Analgesia by Edward Gentile. EMCrit Podcast 26 - Patient Controlled Analgesia by Edward Gentile. May 11, ... Patient Controlled Analgesia, PCA, podcasts. Cite this post as:. Scott Weingart. EMCrit Podcast 26 - Patient Controlled ... Patient Controlled Analgesia without the Pump. by Ed Gentile, MD. Need for an effective and efficient process is self evident . ...
more infohttp://emcrit.org/emcrit/gentile-pain/

Patient-controlled analgesiaPatient-controlled analgesia

... (PCA) is any method of allowing a person in pain to administer their ... Patient-controlled epidural analgesia (PCEA). Patient-controlled epidural analgesia (PCEA) is a related term describing the ... This situation has the patient in control, and is in fact the most common patient-controlled analgesia. As pain is a ... Patients who use PCAs report better analgesia and lower pain scores than those patients who have to request analgesia from the ...
more infohttps://www.bionity.com/en/encyclopedia/Patient-controlled_analgesia.html

Patient-Controlled Analgesia Pumps | StayWell Health Library | MainPatient-Controlled Analgesia Pumps | StayWell Health Library | Main

Patient-Controlled Analgesia Pumps Patient-controlled analgesia (PCA) is a type of pain management that lets you decide when ... Patient-Controlled Analgesia Pumps. Patient-controlled analgesia (PCA) is a type of pain management that lets you decide when ... Patient Information. Sinai Hospital Patient Information. Accommodations. Campus Map. Dining - Patient Room Menus. Dining - ... Patient Information. Accommodations. Campus Map. Dining - Patient Room Menus. Dining - Retail. Directions. FAQs. Gift Shop. ...
more infohttp://www.lifebridgehealth.org/Main/HealthLibrary.aspx?iid=134_96

Hypokalemia and Intravenous Patient Controlled Analgesia - Full Text View - ClinicalTrials.govHypokalemia and Intravenous Patient Controlled Analgesia - Full Text View - ClinicalTrials.gov

Intravenous patient controlled analgesia(IV-PCA) has been widely used to control postoperative pain. The increase in stress ... Hypokalemia and Intravenous Patient Controlled Analgesia. The safety and scientific validity of this study is the ... The researchers divided the patients undergoing laparoscopic cholecystectomy into two groups of IV-PCA group and control group ... patient-reported VAS score during postoperative period checking fourtimes. ; one hour after the end of surgery (T3), at 8:00 A. ...
more infohttps://clinicaltrials.gov/show/NCT01269099

USD405525S - Patient controlled analgesia actuator 
        - Google PatentsUSD405525S - Patient controlled analgesia actuator - Google Patents

Patient controlled analgesia actuator Download PDF Info. Publication number. USD405525S. USD405525S US29089263 US08926398F ... US29089263 1998-06-11 Patient controlled analgesia actuator Expired - Lifetime USD405525S (en) Publications (1). Publication ... We claim the ornamenal design for a patient controlled analgesia actuator, as shown and described. ... 1 is a perspective view of said patient controlled analgesia actuator displaying our design; ...
more infohttps://patents.google.com/patent/USD405525

Patient-controlled analgesia after coronary artery bypass grafting | Clinical | Nursing TimesPatient-controlled analgesia after coronary artery bypass grafting | Clinical | Nursing Times

Research shows that patients with higher pain scores have significantly higher levels of atelectasis (failure of the lungs to ... Analgesia following any thoracic surgery is important to reduce the risk of pulmonary and cardiovascular complications. ... Research shows that patients with higher pain scores have significantly higher levels of atelectasis (failure of the lungs to ... Analgesia following any thoracic surgery is important to reduce the risk of pulmonary and cardiovascular complications. ...
more infohttps://www.nursingtimes.net/clinical-archive/cardiovascular/patient-controlled-analgesia-after-coronary-artery-bypass-grafting/205146.article

Cost of opioid intravenous patient-controlled analgesia: results from  | CEORCost of opioid intravenous patient-controlled analgesia: results from | CEOR

Intravenous patient-controlled analgesia (PCA) equipment and opioid cost analyses on specific procedures are lacking. This ... patient-controlled analgesia, intravenous, total knee arthroplasty, total hip arthroplasty, abdominal surgery, cost ... Aggregated mean intravenous PCA equipment and opioid cost per patient were $196 (THA), $204 (TKA), and $243 (abdominal surgery ... Of 11,805,513 patients, 272,443 (2.3%), 139,275 (1.2%), and 195,062 (1.7%) had TKA, THA, and abdominal surgery, respectively, ...
more infohttps://www.dovepress.com/cost-of-opioid-intravenous-patient-controlled-analgesia-results-from-a-a17280

Patient-Controlled Analgesia (PCA) in Acute Pain: Pharmacological and Clinical Aspects | IntechOpenPatient-Controlled Analgesia (PCA) in Acute Pain: Pharmacological and Clinical Aspects | IntechOpen

Patient-Controlled Analgesia (PCA) in Acute Pain: Pharmacological and Clinical Aspects , IntechOpen, Published on: 2017-05-24. ... Patientcontrolled analgesia. Anesth Analg 2005;101:S44-61.. 12 - Viscusi ER. Patientcontrolled drug delivery for acute ... Patientcontrolled Analgesia. Boston: Blackwell Scientific Publications; 1990, pp. 3-9.. 17 - Ferrante FM. Patientcontrolled ... Efficacy of postoperative patientcontrolled and continuous infusion epidural analgesia versus intravenous patientcontrolled ...
more infohttps://www.intechopen.com/books/pain-relief-from-analgesics-to-alternative-therapies/patient-controlled-analgesia-pca-in-acute-pain-pharmacological-and-clinical-aspects/

Incorporating Capnography Monitoring in Patient-Controlled Analgesia (PCA) Post-Operative Care | NoninIncorporating Capnography Monitoring in Patient-Controlled Analgesia (PCA) Post-Operative Care | Nonin

Clinicians have started to recognize the importance of capnography monitoring for patients on PCA pumps for pain management ... Patient-controlled analgesia by proxy. December 20, 2004.. *The Joint Commission, Sentinel Event Alert, Issue 33: Patient- ... for patients on patient-controlled analgesia (PCA) pumps for pain management post-operatively. ... Maddox RR, Williams CK, Oglesby H, Butler B, Colclasure B. Clinical experience with patient-controlled analgesia using ...
more infohttps://www.nonin.com/incorporating-capnography-monitoring-in-patient-controlled-analgesia-pca-post-operative-care/

Epidural Analgesia or Patient-Controlled Analgesia in Treating Patients Who Have Undergone Surgery for Gynecologic Cancer -...Epidural Analgesia or Patient-Controlled Analgesia in Treating Patients Who Have Undergone Surgery for Gynecologic Cancer -...

Patients choose between epidural analgesia or patient controlled analgesia (PCA) for perioperative pain management. Patients ... Epidural Analgesia or Patient-Controlled Analgesia in Treating Patients Who Have Undergone Surgery for Gynecologic Cancer. This ... Epidural Analgesia or Patient-Controlled Analgesia in Treating Patients Who Have Undergone Surgery for Gynecologic Cancer. ... It is not yet known whether epidural analgesia is more effective than patient-controlled analgesia in controlling pain in ...
more infohttps://clinicaltrials.gov/ct2/show/record/NCT00295945

Epidural Analgesia or Patient-Controlled Analgesia in Treating Patients Who Have Undergone Surgery for Gynecologic CancerEpidural Analgesia or Patient-Controlled Analgesia in Treating Patients Who Have Undergone Surgery for Gynecologic Cancer

Patients choose. between epidural analgesia or patient controlled analgesia (PCA) for perioperative pain. management. Patients ... analgesia vs patient controlled analgesia.. - Compare time to ambulation, return of bowel function, and readiness for hospital ... for patients choosing epidural analgesia). - No lumbar epidurals (for patients choosing epidural analgesia). PATIENT ... may also be supplemented with a patient controlled demand dose. The day after surgery. (postoperative day 1), patients are ...
more infohttp://www.knowcancer.com/cancer-trials/NCT00295945/

Patient-controlled analgesia not as effective as epidural for labor painPatient-controlled analgesia not as effective as epidural for labor pain

... researchers will report findings which suggest remifentanil patient controlled analgesia ... ... titled Remifentanil patient controlled analgesia versus epidural analgesia in labor; a randomized controlled equivalence trial ... "Recent studies suggest that remifentanil patient controlled analgesia (RPCA) is equivalent to epidural analgesia (EA) with ... Patient-controlled analgesia not as effective as epidural for labor pain. February 3, 2014 In a study to be presented on Feb. 7 ...
more infohttps://medicalxpress.com/news/2014-02-patient-controlled-analgesia-effective-epidural-labor.html

Difficulties in Controlling Mobilization Pain Using a Standardized Patient-Controlled Analgesia Protocol in BurnsDifficulties in Controlling Mobilization Pain Using a Standardized Patient-Controlled Analgesia Protocol in Burns

... Nilsson, ... Difficulties in Controlling Mobilization Pain Using a Standardized Patient-Controlled Analgesia Protocol in Burns, 2011, ... with burns during rest and mobilization with morphine according to a standard protocol for patient-controlled analgesia (PCA). ... Patients were allowed free access to morphine with a PCA pump device. Bolus doses were set according to age, (100 - age)/24 = ...
more infohttp://liu.diva-portal.org/smash/record.jsf?pid=diva2%3A401942&

Effect of Dexmedetomidine Alone for Intravenous Patient-Controlled Analgesia After Gynecological Laparoscopic SurgeryEffect of Dexmedetomidine Alone for Intravenous Patient-Controlled Analgesia After Gynecological Laparoscopic Surgery

... intravenous patient-controlled analgesia with DEX alone is an effective method of analgesia after gynecological laparoscopic ... It is not clear whether DEX used alone for intravenous patient-controlled analgesia (PCA) could reduce postoperative pain after ... It is not clear whether DEX used alone for intravenous patient-controlled analgesia could reduce pain after gynecological ... DEX alone is effective for intravenous patient-controlled analgesia after gynecological laparoscopic surgery without a change ...
more infohttp://pubmedcentralcanada.ca/pmcc/articles/PMC4902522/

Institutional survey of nurse anesthesia practice in patients receiving
opioids via patient-controlled analgesiaInstitutional survey of nurse anesthesia practice in patients receiving opioids via patient-controlled analgesia

TI - Institutional survey of nurse anesthesia practice in patients receiving opioids via patient-controlled analgesia ... practice experience and educational needs in the preoperative evaluation of patients using patient-controlled analgesia (PCA) ... Results of the study indicated that 79% of CRNAs reported experience in administration of anesthesia to one or more patients ... The respondents reported use of a variety of methods in handling opioid and infusion devices for patients using PCA ...
more infohttp://www.druglibrary.org/schaffer/asap/painmed/pm12.htm

Anaesthesia UK : Patient controlled epidural analgesia (PCEA)Anaesthesia UK : Patient controlled epidural analgesia (PCEA)

i] Patient-controlled epidural analgesia versus continuous infusion for labour analgesia: a meta-analysis.. van der Vyver M et ... This technique is similar to IV patient controlled analgesia, the difference being that the mother self-administers small ... optimal analgesia with minimal side-effects, high patient satisfaction and a reduced demand on professional time. PCEA has ... If analgesia is inadequate, the bolus dose and lockout interval can be adjusted, and/or extra local anaesthetic can be given. ...
more infohttp://www.anaesthesiauk.com/article.aspx?articleid=100130

Postoperative pain and patient-controlled epidural analgesia-related a | JPRPostoperative pain and patient-controlled epidural analgesia-related a | JPR

Keywords: adverse effect, age, elderly, epidural analgesia, pain management, patient-controlled analgesia ... data of 2,435 patients who received fentanyl and ropivacaine-based patient-controlled epidural analgesia (PCEA) for pain relief ... Differences in postoperative pain, incidence of patient-controlled analgesia (PCA)-related adverse effects, and risk factors ... elderly patients exhibited greater incidence of hypotension, nausea/vomiting, rescue analgesia, and antiemetic administration. ...
more infohttps://www.dovepress.com/postoperative-pain-and-patient-controlled-epidural-analgesia-related-a-peer-reviewed-article-JPR

Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric...Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric...

BackgroundAdministering nurse/patient controlled analgesia (N/PCA) to children requires complex dose calculations and multiple ... Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric ... Current practice of preparing morphine infusions for nurse/patient controlled analgesia in a UK paediatric hospital: healthcare ... Background Administering nurse/patient controlled analgesia (N/PCA) to children requires complex dose calculations and multiple ...
more infohttps://link.springer.com/article/10.1007%2Fs11096-016-0369-3

Global Patient-Controlled Analgesia (PCA) Pump Sales Market Report 2017 By Product, Application, Manufacturer, Sales and...Global Patient-Controlled Analgesia (PCA) Pump Sales Market Report 2017 By Product, Application, Manufacturer, Sales and...

... the Global Patient-Controlled Analgesia (PCA) Pump Market is valued at USD XX million in 2016 and is expected to reach USD XX ... 2.2 Global Patient-Controlled Analgesia (PCA) Pump (Volume and Value) by Type. 2.2.1 Global Patient-Controlled Analgesia (PCA) ... 4.3 China Patient-Controlled Analgesia (PCA) Pump Sales Volume and Market Share by Type. 4.4 China Patient-Controlled Analgesia ... 6.3 Japan Patient-Controlled Analgesia (PCA) Pump Sales Volume and Market Share by Type. 6.4 Japan Patient-Controlled Analgesia ...
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  • noted, however, that the magnitude of the observed differences between PCA and conventional intramuscular analgesia often is modest in view of the immense popularity of PCA. (asahq.org)
  • In the Canadian Journal of Anaesthesia, Ready and Moote debated whether regular intramuscular dosing and rescue analgesia can provide pain relief equal to PCA. (asahq.org)
  • Because of the simplicity of the Analgizer and the pharmacological characteristics of methoxyflurane, it was easy for patients to self-administer the drug and rapidly achieve a level of conscious analgesia which could be maintained and adjusted as necessary over a period of time lasting from a few minutes to several hours. (wikipedia.org)
  • The patient controls when the medication is given. (encyclopedia.com)
  • Advantages of patient-controlled analgesia include self-delivery of pain medication, faster alleviation of pain because the patient can address pain with medication, and dosage monitoring by medical staff (dosage can be increased or decreased depending on need). (wikipedia.org)
  • With a PCA the patient spends less time in pain and as a corollary to this, patients tend to use less medication than in cases in which medication is given according to a set schedule or on a timer. (wikipedia.org)
  • Disadvantages include the possibility that a patient will use the pain medication nonmedically, self-administering the pain medication to get high. (wikipedia.org)
  • Patients receive a demand schedule of hydromorphone IV until they can be weaned to oral pain medication. (clinicaltrials.gov)
  • Patients can receive medicine when they need it, instead of having to wait for nursing staff, and tend to use less. (bionity.com)
  • Patients should receive PCA education in the preoperative setting rather than immediately after a surgical intervention, when the ability to process directions may be impaired. (uspharmacist.com)
  • In 1968, Robert Wexler of Abbott Laboratories developed the Analgizer, a disposable inhaler that allowed the self-administration of methoxyflurane vapor in air for analgesia. (wikipedia.org)
  • PROJECTED ACCRUAL: A total of 224 patients will be accrued for this study. (knowcancer.com)
  • Results of the study indicated that 79% of CRNAs reported experience in administration of anesthesia to one or more patients who used PCA preoperatively. (druglibrary.org)
  • One hundred fifty-three patients were finally completed the study. (medsci.org)
  • There will be a total of 240 women recruited for this study, with an accrual rate of 5 to 10 patients per month. (knowcancer.com)
  • Patients with a history of documented anaphylaxis or contraindication to any of the study medications or standardized intraoperative medications will be excluded from study. (knowcancer.com)
  • The Analgizer was found to be safe, effective, and simple to administer in obstetric patients during childbirth, as well as for patients with bone fractures and joint dislocations , and for dressing changes on burn patients. (wikipedia.org)