Background: This study was undertaken to verify the efficacy and safety of patient controlled analgesia (PCA) in preschool and older than 6 years children with acute postoperative and chronic oncologic pain. Methods: Sixty-two children, aged 4-17 yr, with postoperative (n=37) or chronic (n=25) pain received PCA with morphine at the following dosages: bolus = 10-20 γ kg-1; starter dose = 10-30 γ kg -1; background infusion = 10-50 γ kg -1 h- 1. Lockout was 5 to 15 minutes. In some children with oncologic pathology adjuvant drugs were also used. Results: Analgesia was considered satisfactory in all children, while a mild sedation was observed only in two children. PCA was also successfully used in preschool children (11%), aged 4 to 6 yr. Side effects were observed in 8 patients, but only in one of them a transient respiratory depression was recorded. The mean PCA duration was 5.3±5.5 days (min.2; max 24). Conclusions: These results indicate that PCA is an effective and safe method to control acute postoperative pain as well as to manage chronic oncologic pain in children.
|Translated title of the contribution||Patient controlled analgesia (PCA) in children with acute and chronic pain|
|Number of pages||5|
|Journal||Pediatria Medica e Chirurgica|
|Publication status||Published - 2000|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health