La PCA per il controllo del dolore acuto e cronico in pediatria

Translated title of the contribution: Patient controlled analgesia (PCA) in children with acute and chronic pain

G. Marchetti, G. Calbi, A. Villani

Research output: Contribution to journalArticlepeer-review


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 contributionPatient controlled analgesia (PCA) in children with acute and chronic pain
Original languageItalian
Pages (from-to)9-13
Number of pages5
JournalPediatria Medica e Chirurgica
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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