Use of breath-activated Patient Controlled Analgesia for acute pain management in a patient with quadriplegia.
We report the use of breath-activated Patient Controlled Analgesia (PCA) for the provision of analgesia in a quadriplegic patient with traumatic neck injury. This provided good pain relief, decreased opioid complications, improved perceptions of self-control, smoothed recovery and enhanced patient, family as well as staff satisfaction. The setup and principles of its use in a patient with high anxiety and unable to use conventionally activated PCA are illustrated.
Jastrzab
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Division of Anaesthesia and Intensive Care, Prince of Wales Hospital, Randwick, New South Wales, Australia.
Khor
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KE
D000208:Acute Disease; D000328:Adult; D016058:Analgesia, Patient-Controlled / Q000295:instrumentation* / Q000379:methods; D018437:Brown-Sequard Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010148:Intractable Pain / Q000188:drug therapy* / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy*; D011256:Pregnancy Outcome; D011782:Quadriplegia / Q000209:etiology / Q000628:therapy; D012119:Respiration; D013124:Spinal Injuries / Q000150:complications* / Q000628:therapy; D013313:Stress Disorders, Post-Traumatic / Q000150:complications; D016896:Treatment Outcome