[{"@context":"http:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/wiki.edu.vn\/all2en\/wiki14\/patient-controlled-analgesia-wikipedia\/#BlogPosting","mainEntityOfPage":"https:\/\/wiki.edu.vn\/all2en\/wiki14\/patient-controlled-analgesia-wikipedia\/","headline":"Patient -controlled analgesia – Wikipedia","name":"Patient -controlled analgesia – Wikipedia","description":"before-content-x4 Device for patient -controlled analgesia via epidural catheter ( PCEA ) The Patient -controlled analgesia ( English patient-controlled analgesia","datePublished":"2020-04-01","dateModified":"2020-04-01","author":{"@type":"Person","@id":"https:\/\/wiki.edu.vn\/all2en\/wiki14\/author\/lordneo\/#Person","name":"lordneo","url":"https:\/\/wiki.edu.vn\/all2en\/wiki14\/author\/lordneo\/","image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/44a4cee54c4c053e967fe3e7d054edd4?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/44a4cee54c4c053e967fe3e7d054edd4?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"Enzyklop\u00e4die","logo":{"@type":"ImageObject","@id":"https:\/\/wiki.edu.vn\/wiki4\/wp-content\/uploads\/2023\/08\/download.jpg","url":"https:\/\/wiki.edu.vn\/wiki4\/wp-content\/uploads\/2023\/08\/download.jpg","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/b\/b4\/PCA-01.JPG\/220px-PCA-01.JPG","url":"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/b\/b4\/PCA-01.JPG\/220px-PCA-01.JPG","height":"293","width":"220"},"url":"https:\/\/wiki.edu.vn\/all2en\/wiki14\/patient-controlled-analgesia-wikipedia\/","wordCount":1960,"articleBody":"     (adsbygoogle = window.adsbygoogle || []).push({});before-content-x4 Device for patient -controlled analgesia via epidural catheter ( PCEA ) The Patient -controlled analgesia ( English  patient-controlled analgesia , Pca), too patient -controlled or Patient -controlled pain therapy named, allows the patient to get a pain reliever (analgesic) himself when pain occurs. The concept of PCA and the first prototypes of PCA devices (initially PCA pumps) were developed in 1971 by Philip H. Sechzer. [first]        (adsbygoogle = window.adsbygoogle || []).push({});after-content-x4There are six different forms at the PCA: Patient -fed intravenous analgesia (PCIA) [2] Patient -controlled epidural analgesia (PCEA) [2] Patient -controlled peripheral analgesia (PCRA) [3] Patient -controlled subcutaneous analgesia (PCSA) [4] Patient -controlled IONTOPHORETATIC transdermal analgesia with fentanyl [5] Patient -controlled sublingual analgesia with Sufenanil [6] Table of Contents       (adsbygoogle = window.adsbygoogle || []).push({});after-content-x4Intravenous, subcutaneous [ Edit | Edit the source text ] Epidural [ Edit | Edit the source text ] Postoperative pain therapy [ Edit | Edit the source text ] Breakthrough pain [ Edit | Edit the source text ] Intravenous, subcutaneous [ Edit | Edit the source text ] The intravenous or subcutaneous [4] Administration (colloquially also as “Pain pump” Described) is a concept of pain therapy that is used postoperatively or in palliative medicine. While the term is not primarily limited to an application form or a medication group, an intravenous or subcutaneous administration of an opioid solution is carried out by activating a microprocessor-controlled infusion pump or appropriately designed elastomer pump (PCA pump). After the self -distribution of a defined dose of the medication, a lock becomes active, which only enables a new injection after a set time window. In addition to the exclusively intermittent administration of painkillers, there is also the possibility to permanently inject a basic requirement. The PCA is a safe procedure, rarely breathing depression as a side effect of the pain relievers. [3] The use should enable the patient independence and ensure optimal adaptation of the dose to the needs. The effectiveness of pain therapy is generally better than with intermittent administration by medical staff. [7] [8] Epidural [ Edit | Edit the source text ] Alternatives to the intravenous administration of the painkillers are administration via an epidural catheter ( patient-controlled epidural Analgesia , PCEA) or a peripheral pain catheter ( patient-controlled regional analgesia , PCRA). [3] Postoperative pain therapy [ Edit | Edit the source text ] In the case of postoperative pain therapy, the intravenous and epidural PCAs are usually used. [2] If the patient is not restricted, intellectual or by the disease, it can be used. [2] Breakthrough pain [ Edit | Edit the source text ] A PCA can also be used for breakthrough pain to overcome the strong pain crisis. [9]        (adsbygoogle = window.adsbygoogle || []).push({});after-content-x4\u2191  P. H. Sechzer: Studies in pain with the analgesic-demand system . In: Anesthesia and Analgesia . Band  50 , No.  first , February 1971, S.  1\u201310 , PMID 5100236 .   \u2191 a b c d  Practice of anesthesiology specifically – compact – guideline -oriented . Edition 2018. Berlin, Heidelberg, ISBN 978-3-662-54568-3.   \u2191 a b c  Jeffrey A. Grass: Patient-controlled analgesia . In: Anesthesia and Analgesia . Band  101 , 5 Suppl, November 2005, S.  S44\u201361 , PMID 16334492 .   \u2191 a b  J. Hense, M. Przybor, J. Rosenbruch, Christoph Osgathe, C. Wolf, S. Bogner: SOP – subcutaneous medication and infusions in adult palliative medicine. The oncologist, June 23, 2017, Two: 10.1007\/s00761-017-0247-1 .  \u2191  www.arzneimitteltherapie.de .  \u2191  www.ema.europa.eu .  \u2191  B. Walder, M. Schafer, I. Henzi, M. R. Tram\u00e8r: Efficacy and safety of patient-controlled opioid analgesia for acute postoperative pain. A quantitative systematic review . In: Acta Anaesthesiologica Scandinavica . Band  45 , No.  7 , August 2001, S.  795\u2013804 , PMID 11472277 .   \u2191  J. C. Ballantyne, D. B. Carr, T. C. Chalmers, K. B. Dear, I. F. Angelillo, F. Mosteller: Postoperative patient-controlled analgesia: meta-analyses of initial randomized control trials . In: Journal of Clinical Anesthesia . Band  5 , No.  3 , June 1993, S.  182\u2013193 , PMID 8318237 .   \u2191  Freye, E. (enno): Opioids in medicine . 8th, updated edition. Springer Medicine Verlag, Heidelberg 2010, ISBN 978-3-540-88797-3.   This article deals with a health issue. He serves not the self -diagnosis and replaced not A diagnosis by a doctor. Please note the note on health issues!       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