• Masui · Aug 2011

    Review

    [Intravenous patient-controlled analgesia (IV-PCA) for relief of postoperative pain].

    • Ju Mizuno, Shigeho Morita, Nobuaki Hanaue, Kazuo Hanaoka, and Takeshi Yokoyama.
    • Department of Anesthesiology, Teikyo University School of Medicine, Tokyo 173-8605.
    • Masui. 2011 Aug 1;60(8):908-12.

    AbstractIntravenous patient-controlled analgesia (IV-PCA) using opioids such as morphine and fentanyl can be an effective analgesic method for post-operative pain that is resistant to conventional administration of narcotic analgesics and nonsteroidal anti-inflammatory drugs, and where epidural block and peripheral nerve block are not feasible. In addition to post-operative pain relief, IV-PCA can facilitate early ambulation, reduce respiratory complications, and increase patient satis-faction. However, respiratory and circulatory depression, and post-operative nausea and vomiting (PONV) often occur as side effects of IV-PCA with opioids. Administration of droperidol can be an effective treatment for PON.

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