Journal of PeriAnesthesia Nursing
Volume 19, Issue 1 , Pages 42-45 , February 2004

Safe use of a continuous infusion with IV PCA

  • Chris Pasero, MS, RN (FAAN)

      Affiliations

    • Corresponding Author InformationAddress correspondence to Chris Pasero, MS, RN, FAAN, 1252 Clearview Dr, El Dorado Hills, CA 95762, USA
    • Chris Pasero, MS, RN, FAAN, is a pain management educator and consultant in El Dorado Hills, CA
    • ,
  • Margo McCaffery, MS, RN (FAAN)

      Affiliations

    • Margo McCaffery MS, RN, FAAN, is a consultant in the nursing care of patients with pain in Los Angeles, CA.

References 

  1. Pasero C, Portenoy RK, McCaffery M. Opioid analgesics. In:  McCaffery M,  Pasero C editor. Pain (Clinical Manual). (ed 2). St. Louis: Mosby; 1999;p. 161–299
  2. American Pain Society (APS) . Principles of Analgesic Use in the Treatment of Acute Pain and Cancer Pain. (ed 4). Glenview, IL: APS; 2003;
  3. Parker RK, Holtmann B, White PF. Patient-controlled analgesia. Does a concurrent opioid infusion improve pain management after surgery?. J Am Med Assoc. 1991;266:1947–1952
  4. Smythe MA, Zak MB, O’Donnell MP, et al.  Patient-controlled analgesia versus patient-controlled analgesia plus continuous infusion after hip replacement. Ann Pharmacother. 1996;30:224–227
  5. Dal D, Canbak M, Cagler M, et al.  A background infusion of morphine does not enhance postoperative analgesia after cardiac surgery. Can J Anaesth. 2003;50:476–479
  6. Rayburn WF, Smith CV, Leuschen MP, et al.  Combined continuous and demand narcotic dosing for patient-controlled analgesia after cesarean section. Anesthesiol Rev. 1990;17:58–62
  7. Hansen LA, Noyes MA, Lehman ME. Evaluation of patient-controlled analgesia (PCA) versus PCA plus continuous infusion in postoperative cancer patients. J Pain Symptom Manage. 1991;6:4–14
  8. Pasero C, McCaffery M. Accountability for pain relief (Use of comfort-function goals). J PeriAnesth Nurs. 2003;18:50–52
  9. Sidebotham D, Dijkhuizen MRJ, Schug SA. The safety and utilization of patient-controlled analgesia. J Pain Symptom Manage. 1997;14:202–209
  10. Pasero C, McCaffery M. Avoiding opioid-induced respiratory depression. Am J Nurs. 1994;94:25–30

PII: S1089-9472(03)00312-5

doi: 10.1016/j.jopan.2003.11.006

Journal of PeriAnesthesia Nursing
Volume 19, Issue 1 , Pages 42-45 , February 2004

Article Tools