title: [A clinic's experiences in postoperative patient controlled analgesia].
abstract: OBJECTIVE
  Postoperative analgesia technique varies depending on the operation, patient, anesthetist, and circumstances. PCA (patient controlled analgesia) is an effective way of supporting postoperative analgesia. In this study, we aimed to present the efficacy and safety of our postoperative PCA treatment and the patient profile along with the requirements, preferences and decision-making process.
  
  
  METHODS
  We discuss herein the PCA protocols of our clinic, the overall distribution of operations for which PCA was applied and the principles by which a pain team works.
  
  
  RESULTS
  The operations for which PCA was applied included knee prosthesis, cesarean section, hip prosthesis, lower extremity trauma surgery, painless delivery, gastrointestinal surgery, multiple trauma surgery, thoracotomy, hysterectomy, laminectomy, and urogenital surgery. Postoperative PCA alone was successful in 89% of the patients, and with the supplemental analgesic agent, it was successful in an additional 6% of the patients, thus achieving a total success rate of 95%.
  
  
  CONCLUSIONS
  We believe the epidural and intravenous PCA protocols applied in our clinic for postoperative analgesia are effective and safe.
authors.affiliation: Department of Anesthesiology and Reanimation, Gülhane Military Medical Faculty, Ankara, Turkey.
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Atim
authors.forename: Süleyman
authors.initials: S
authors.lastname: Deniz
authors.forename: Mehmet Emin
authors.initials: ME
authors.lastname: Orhan
authors.forename: Ali
authors.initials: A
authors.lastname: Sizlan
authors.forename: Ercan
authors.initials: E
authors.lastname: Kurt
mesh_terms: D016058:Analgesia, Patient-Controlled / Q000379:methods*; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010149:Postoperative Pain / Q000188:drug therapy*; D010348:Patient Care Team; D011247:Pregnancy; D012189:Retrospective Studies; D013908:Thoracotomy; D014947:Wounds and Injuries / Q000601:surgery
chemical_list: D000700:Analgesics