title: [Peri- and postoperative pain therapy with mechanical patient-controlled disposable analgesia pumps in general surgery. Report of initial trial].
abstract: The patient-controlled analgesia (PCA) or "ondemand analgesia" is a pain-relieving therapy, which is regulated and monitored by the patient himself. Postoperative pain therapy is the main approach for PCA, which facilitates a long-term, individually controlled pain relief. In certain situations we use mechanical PCA-pumps filled with piritramid (Dipidolor) as an opioid-analgetic for reducing postoperative pain. This kind of therapy needs the acceptance and understanding of the patient as a main condition for the success. Beside an increase of patients' comfort and patients' independence of analgetic demand from the medical staff a reduction in postoperative complications can be expected, the time of hospitalisation might be decreased.
authors.affiliation: Abteilung für Allgemein- und Gefässchirurgie, Diakonissenkrankenhaus Mannheim.
authors.forename: H G
authors.initials: HG
authors.lastname: Fieseler
authors.forename: B
authors.initials: B
authors.lastname: Vogt
authors.forename: H W
authors.initials: HW
authors.lastname: Menges
mesh_terms: D000328:Adult; D000368:Aged; D016058:Analgesia, Patient-Controlled / Q000295:instrumentation*; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D004209:Disposable Equipment; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D007260:Infusion Pumps; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy*; D010892:Pirinitramide / Q000008:administration & dosage*; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid; D010892:Pirinitramide
vernacular_title: Peri- und postoperative Schmerztherapie mit mechanischen PCA-Einmal-Pumpen in der Allgemeinchirurgie. Ein erster Anwendungsbericht.