[Patient-controlled analgesia in children].
This study describes the author's initial experience with "patient controlled analgesia" (PCA) in thirty school-age children for postoperative pain relief after major orthopedic surgery. The only narcotic used was morphine administered at both continuous and PCA modes. After the first eight patients, dosage regimens were changed and satisfactory postoperative analgesia was obtained in the last 20 patients with few side-effects. Recommended dosages range between 0.1 and 0.2 mg.kg-1 for loading dose, 0.01-0.02 mg.kg-1.h-1 for continuous infusion and 0.01-0.02 mg.kg-1 for PCA dose. Interest and limits of this method in children are discussed.
Murat
I
I
Département d'Anesthésie-Réanimation Chirurgicale, Hôpital Saint Vincent de Paul, Paris.
Dubois
M C
MC
Estève
C
C
Saint-Maurice
C
C
D000293:Adolescent; D000328:Adult; D016058:Analgesia, Patient-Controlled; D002648:Child; D005260:Female; D006801:Humans; D007260:Infusion Pumps; D008297:Male; D009020:Morphine / Q000008:administration & dosage*; D009985:Orthopedics; D010149:Postoperative Pain / Q000517:prevention & control*; D011446:Prospective Studies
D009020:Morphine
Analgésie auto-contrôlée chez l'enfant.