title: Nurse-controlled analgesia using a patient-controlled analgesia device: an alternative strategy in the management of severe cancer pain in children.
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).
authors.affiliation: Vincent Fairfax Pain Unit, Royal Alexandra Hospital for Children, Parramatta, New South Wales, Australia.
authors.forename: S A
authors.initials: SA
authors.lastname: Kanagasundaram
authors.forename: M G
authors.initials: MG
authors.lastname: Cooper
authors.forename: L J
authors.initials: LJ
authors.lastname: Lane
mesh_terms: D000293:Adolescent; D016058:Analgesia, Patient-Controlled / Q000295:instrumentation* / Q000379:methods / Q000451:nursing*; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004305:Dose-Response Relationship, Drug; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009020:Morphine / Q000008:administration & dosage* / Q000627:therapeutic use; D009369:Neoplasms / Q000150:complications* / Q000473:pathology; D010147:Pain Measurement; D010148:Intractable Pain / Q000188:drug therapy* / Q000209:etiology / Q000451:nursing*
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine; D005283:Fentanyl