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Nurse-controlled analgesia using a patient-controlled analgesia device: An alternative strategy in the management of severe cancer pain in children
Authors:SA KANAGASUNDARAM  MG COOPER  LJ LANE
Affiliation:Vincent Fairfax Pain Unit and Department of Anaesthesia, Royal Alexandra Hospital for Children, Parramatta, New South Wales, Australia
Abstract:Abstract: Nurse-controlled analgesia (NCA) using a patient-controlled analgesia (PCA) device has been described for intensive care and postoperative use. This report describes the effective use of this technique for severe episodic and procedural pain in four children with advanced malignancy and high opioid requirements where conventional parenteral analgesia had been inadequate. Both morphine and fentanyl were used. Average duration of NCA was 6.75 days (range 4–12).
Keywords:cancer    children    fentanyl    morphine    nurse-controlled analgesia    pain    patient-controlled analgesia
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