title: Extending patient-controlled analgesia to patient-controlled neuroleptanalgesia.
abstract: A trial was conducted (among 22 patients) to assess a new use of patient-controlled devices. Using a patient-controlled analgesia (PCA) pump under the anaesthetist's guidance, the patients self-administered a neurolept mixture consisting of droperidol and alfentanil. The patients were then able to undergo minor surgery (dilatation and curettage). The majority remained detached, sedated and pain-free, while able to control the PCA pump during the procedure. Patient-controlled neuroleptanalgesia or PCNA, as we propose to call this technique, appeared practical, effective and safe. The method was generally well accepted and highly rated by the patients.
authors.affiliation: Department of Anaesthesia, Hillbrow Hospital, Johannesburg.
authors.forename: D
authors.initials: D
authors.lastname: Hopkins
authors.forename: E A
authors.initials: EA
authors.lastname: Shipton
authors.forename: J P
authors.initials: JP
authors.lastname: Tissandie
mesh_terms: D000293:Adolescent; D000328:Adult; D016058:Analgesia, Patient-Controlled; D005260:Female; D006801:Humans; D007260:Infusion Pumps; D008875:Middle Aged; D013511:Minor Surgical Procedures; D009458:Neuroleptanalgesia / Q000379:methods*; D017060:Patient Satisfaction